Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12452 | Date 12/12/2024 |
| Token No | SM/24-25/20178 12/12/2024 | Serial | 021 |
| Patient Name | Mr. IMRAN KHAN | Contact No | 8981622320 |
| Address | 21 AKC BHATTACHARYA STREET | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||