Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13703 | Date 04/11/2025 |
| Token No | SM/25-26/2514 04/11/2025 | Serial | 011 |
| Patient Name | Mr. MD AQIB | Contact No | 7003315964 |
| Address | 49/B R K ROAD, RISHRA | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||