Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 11885 | Date 02/08/2024 |
| Token No | SM/24-25/17875 02/08/2024 | Serial | 005 |
| Patient Name | Mr. SK RIYAJUDDIN | Contact No | 8240104540 |
| Address | 26/A MIAJAN DARJI LANE | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||