Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12146 | Date 25/09/2024 |
| Token No | SM/24-25/19017 25/09/2024 | Serial | 031 |
| Patient Name | Baby MARYUM KHATOON | Contact No | 9907141446 |
| Address | 19 DEY STREET | Age | 1 mnth 28 days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||