Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05054 | Date 16/11/2021 |
| Token No | SM/24-25/20303 20/12/2024 | Serial | 002 |
| Patient Name | Mrs. RINA KHATIK | Contact No | 9883754538 |
| Address | DEY STREET | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||