Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07592 | Date 10/11/2022 |
| Token No | SM/22-23/6255 14/11/2022 | Serial | 008 |
| Patient Name | Mrs. SABBO BIBI | Contact No | 6289285691 |
| Address | 2/B MAHATMA GANDHI ROAD | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||