Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06000 | Date 03/06/2022 |
| Token No | SM/22-23/4852 05/09/2022 | Serial | 005 |
| Patient Name | Mr. AZAD KHAN | Contact No | 9038302550 |
| Address | 84 DEY STREET | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||