Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11973 | Date 20/08/2024 |
| Token No | SM/24-25/18260 20/08/2024 | Serial | 003 |
| Patient Name | Mr. SK NASIM | Contact No | 7596923912 |
| Address | 5/1 G.T. ROAD, SEORAPHULI | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||