Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10342 | Date 08/09/2023 |
| Token No | SM/25-26/1261 17/07/2025 | Serial | 007 |
| Patient Name | Mrs. SAIRA BANU | Contact No | 9836248271 |
| Address | DEY STREET | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||