Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04704 | Date 11/08/2021 |
| Token No | SM/21-22/805 11/08/2021 | Serial | 003 |
| Patient Name | Mr. ABUL HOSSAIN | Contact No | 6290338967 |
| Address | 10 GOPINATH SAHA STREET | Age | 75 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||