Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09675 | Date 18/07/2023 |
| Token No | SM/24-25/16441 23/05/2024 | Serial | 011 |
| Patient Name | Master SK SAIM ALI | Contact No | 9088073661 |
| Address | DEY STREET | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||