Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11025 | Date 08/01/2024 |
| Token No | SM/22-23/14147 08/01/2024 | Serial | 011 |
| Patient Name | Mr. RAFIK SEKH | Contact No | 6291966117 |
| Address | JOLKOL WORKER | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||