Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05694 | Date 21/11/2023 |
| Token No | SM/22-23/15652 21/11/2023 | Serial | 023 |
| Patient Name | Mr. SEKH IMRAN | Contact No | 8240905031 |
| Address | 26/A MIYAJAN DARJEE LANE 712203 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||