Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06248 | Date 29/06/2022 |
| Token No | SM/22-23/5077 13/09/2022 | Serial | 003 |
| Patient Name | Mrs. NASIMA BIBI | Contact No | 9123972306 |
| Address | DEY STREET | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||