Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12669 | Date 15/02/2025 |
| Token No | SM/24-25/20970 15/02/2025 | Serial | 003 |
| Patient Name | Mrs. BABITA SHAW | Contact No | 8013146858 |
| Address | TIN BAZAR | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||