Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12652 | Date 13/02/2025 |
| Token No | SM/24-25/20941 13/02/2025 | Serial | 003 |
| Patient Name | Mrs. RUBY BIBI | Contact No | 7362947981 |
| Address | DEY STREET | Age | 30 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||