Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13418 | Date 28/08/2025 |
| Token No | SM/25-26/1753 28/08/2025 | Serial | 001 |
| Patient Name | Mr. SK ANWAR | Contact No | 7003265194 |
| Address | 5E G S STREET | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||