Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10137 | Date 25/08/2023 |
| Token No | SM/22-23/11973 25/08/2023 | Serial | 015 |
| Patient Name | Mrs. NAZIA KHATUN | Contact No | 9038501160 |
| Address | 21B K C B STREET | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||