Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06057 | Date 10/06/2022 |
| Token No | SM/22-23/3331 10/06/2022 | Serial | 009 |
| Patient Name | Mr. FAZAL KHAN | Contact No | 8420819421 |
| Address | GOPINATH SHA STREET | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||