Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11903 | Date 06/08/2024 |
| Token No | SM/24-25/19876 25/11/2024 | Serial | 022 |
| Patient Name | Mrs. SAIRA BIBI | Contact No | 7890600731 |
| Address | 42 PACHU GOPAL BHADURI SARANI | Age | 42 yrs Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||