Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08310 | Date 09/02/2023 |
| Token No | SM/22-23/7781 09/02/2023 | Serial | 023 |
| Patient Name | Mrs. ISHA SHA | Contact No | 8334010127 |
| Address | 9 KENAS LANE | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||