Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11018 | Date 04/01/2024 |
| Token No | SM/22-23/14099 04/01/2024 | Serial | 001 |
| Patient Name | Mr. ABDUR RASHID | Contact No | 9091784442 |
| Address | JOLKOL OFFICE STAFF | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||