Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08183 | Date 30/01/2023 |
| Token No | SM/22-23/7547 30/01/2023 | Serial | 002 |
| Patient Name | Mrs. FARIDA KHATOON | Contact No | 9062313698 |
| Address | 5/B/3/1 DEY STREET | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||