Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02833 | Date 19/08/2019 |
| Token No | SM/18-19/5704 19/08/2019 | Serial | 012 |
| Patient Name | Mr. AKHTAR ALI | Contact No | 9831272094 |
| Address | 53 DEY STREET | Age | 61 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||