Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09916 | Date 09/08/2023 |
| Token No | SM/22-23/11492 09/08/2023 | Serial | 010 |
| Patient Name | Mrs. MOHOSINA KHATUN | Contact No | 6290338967 |
| Address | 16A RABINDRABHABAN SARANI | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||