Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11768 | Date 10/07/2024 |
| Token No | SM/24-25/17437 10/07/2024 | Serial | 020 |
| Patient Name | Mr. MD IJAJ ANSARI | Contact No | 7044759256 |
| Address | 21 DR. N L B STREET | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||