Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03869 | Date 04/03/2020 |
| Token No | SM/24-25/16059 03/05/2024 | Serial | 018 |
| Patient Name | Mr. JAFAR ALI | Contact No | 9641610327 |
| Address | JOLKOL WORKER | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||