Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10300 | Date 04/09/2023 |
| Token No | SM/22-23/12262 04/09/2023 | Serial | 046 |
| Patient Name | Mrs. JAHANARA BIBI | Contact No | 9830537811 |
| Address | 50 DR, N L B STREET | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||