Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08648 | Date 24/03/2023 |
| Token No | SM/22-23/8538 24/03/2023 | Serial | 017 |
| Patient Name | Mr. PIR MOHAMMAD | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 75 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||