Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09102 | Date 18/05/2023 |
| Token No | SM/22-23/9656 18/05/2023 | Serial | 016 |
| Patient Name | Mr. YASIR ALAM | Contact No | 7008945820 |
| Address | RAI GHAT | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||