Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04298 | Date 20/04/2021 |
| Token No | SM/25-26/2904 06/12/2025 | Serial | 009 |
| Patient Name | Mrs. KHAIROON BIBI | Contact No | 7449823850 |
| Address | DEY STREET | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||