Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02995 | Date 29/10/2022 |
| Token No | SM/22-23/3971 02/11/2022 | Serial | 022 |
| Patient Name | Mrs. SAHERA BEGAM | Contact No | 9123775602 |
| Address | KESTOPUR | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||