Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13468 | Date 04/09/2025 |
| Token No | SM/25-26/1894 04/09/2025 | Serial | 004 |
| Patient Name | Mrs. BABY SHA | Contact No | |
| Address | TIN BAZAR | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||