Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04016 | Date 25/08/2020 |
| Token No | SM/24-25/19694 14/11/2024 | Serial | 001 |
| Patient Name | Mr. AMIR KHAN | Contact No | 9123810412 |
| Address | AKC BHATTACHARYA STREET | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||