Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11644 | Date 12/06/2024 |
| Token No | SM/24-25/19686 13/11/2024 | Serial | 017 |
| Patient Name | Mr. MD ZULFIKAR | Contact No | 9051217647 |
| Address | 22 DR. N.L. B. STREET | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||