Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07085 | Date 19/09/2022 |
| Token No | SM/22-23/5197 19/09/2022 | Serial | 016 |
| Patient Name | Mr. SHOIAB ANMAD | Contact No | 8683026107 |
| Address | 53 DEY STREET | Age | 11 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||