Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07846 | Date 30/11/2022 |
| Token No | SM/22-23/6721 30/11/2022 | Serial | 010 |
| Patient Name | Mrs. PINKI BAYEN | Contact No | 8617799311 |
| Address | K.M. SHA STREET | Age | 31 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||