Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 01369 | Date 06/04/2020 |
| Token No | SM/19-20/3666 06/04/2020 | Serial | 019 |
| Patient Name | Mrs. MAJEDA BIBI | Contact No | |
| Address | 4 RAIL GATE RISHRA | Age | 40 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||