Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07113 | Date 22/09/2022 |
| Token No | SM/22-23/5273 22/09/2022 | Serial | 020 |
| Patient Name | Baby AYAT KALIM | Contact No | NOT GIVEN |
| Address | 23 PARSHI LANE | Age | 4 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||