Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01390 | Date 18/12/2018 |
| Token No | SM/18-19/1997 18/12/2018 | Serial | 023 |
| Patient Name | Miss SAGUN KHATUN | Contact No | |
| Address | Age | 18 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||