Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13655 | Date 25/10/2025 |
| Token No | SM/25-26/2386 25/10/2025 | Serial | 008 |
| Patient Name | Mrs. BABY SHAW | Contact No | 9748269996 |
| Address | TIN BAZAR | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||