Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07225 | Date 13/10/2022 |
| Token No | SM/22-23/5467 13/10/2022 | Serial | 011 |
| Patient Name | Mrs. LAJINA BIBI | Contact No | 9007653214 |
| Address | MIYAJAN DARJI LANE | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||