Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11078 | Date 29/01/2024 |
| Token No | SM/24-25/20928 12/02/2025 | Serial | 013 |
| Patient Name | Mrs. TAHERA BIBI | Contact No | 8334025470 |
| Address | 84 DEY STREET | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||