Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12055 | Date 04/09/2024 |
| Token No | SM/24-25/18568 04/09/2024 | Serial | 004 |
| Patient Name | Mrs. JERINA KHATOON | Contact No | |
| Address | SIMLA KALI TALA | Age | 45 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||