Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11714 | Date 27/06/2024 |
| Token No | SM/24-25/17199 27/06/2024 | Serial | 030 |
| Patient Name | Mr. SK AMIN | Contact No | 8334072423 |
| Address | A K C B STREET | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||