Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06790 | Date 22/08/2022 |
| Token No | SM/24-25/17956 06/08/2024 | Serial | 017 |
| Patient Name | Mrs. FARHAT JAHAN | Contact No | 8100361327 |
| Address | 17 PARSHI LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||