Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07026 | Date 13/09/2022 |
| Token No | SM/22-23/5078 13/09/2022 | Serial | 004 |
| Patient Name | Mrs. RESHMA BEGUM | Contact No | 7890921460 |
| Address | 2 PARSHI LANE | Age | 39 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||