Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07235 | Date 13/10/2022 |
| Token No | SM/22-23/6279 14/11/2022 | Serial | 032 |
| Patient Name | Mrs. SALMA BIBI | Contact No | 6289978702 |
| Address | 23 T.P. BHATTACHARYA STREET | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||