Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03660 | Date 03/01/2020 |
| Token No | SM/22-23/8481 22/03/2023 | Serial | 028 |
| Patient Name | Mr. MD AFRAUDDIN | Contact No | 9674895784 |
| Address | MANIKTALA | Age | 49 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||