Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09413 | Date 19/06/2023 |
| Token No | SM/22-23/10343 19/06/2023 | Serial | 030 |
| Patient Name | Mrs. SAHARUN NIHAR BEGUM | Contact No | 7044135136 |
| Address | 32 MUSALMAN PARA LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||