Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09747 | Date 24/07/2023 |
| Token No | SM/22-23/11142 24/07/2023 | Serial | 014 |
| Patient Name | Mr. ALAUDDIN ANSARI | Contact No | 7488956580 |
| Address | 18 NO LINE, DHARMATALA | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||