Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09740 | Date 24/07/2023 |
| Token No | SM/22-23/11130 24/07/2023 | Serial | 002 |
| Patient Name | Mr. SK SAHIRUDDIN | Contact No | 9748144788 |
| Address | 13 K C B STREET | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||