Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08011 | Date 23/12/2022 |
| Token No | SM/22-23/7138 23/12/2022 | Serial | 007 |
| Patient Name | Mr. SK SIRAJUDDIN | Contact No | 9088156348 |
| Address | MANIKTALA | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||