Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09884 | Date 04/08/2023 |
| Token No | SM/22-23/11408 04/08/2023 | Serial | 036 |
| Patient Name | Miss SHAMMA PARVIN | Contact No | 8334025470 |
| Address | 84 DEY STREET | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||