Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07067 | Date 16/09/2022 |
| Token No | SM/22-23/5170 16/09/2022 | Serial | 013 |
| Patient Name | Mrs. MINA SHAW | Contact No | 9748003896 |
| Address | L.B.S ROAD | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||