Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10543 | Date 27/09/2023 |
| Token No | SM/22-23/12731 27/09/2023 | Serial | 001 |
| Patient Name | Mr. SK SIRAJUDDIN | Contact No | 9088156383 |
| Address | MANIKTALA | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||