Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02544 | Date 22/07/2019 |
| Token No | SM/21-22/169 26/04/2021 | Serial | 008 |
| Patient Name | Mrs. JAIBUNWESHA KHATUN | Contact No | NOT GIVEN |
| Address | DEY ST | Age | 49 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||