Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05014 | Date 28/10/2021 |
| Token No | SM/24-25/20174 12/12/2024 | Serial | 017 |
| Patient Name | Mr. MD SABIR | Contact No | 9007737721 |
| Address | 82 DEY STREET | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||