Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05920 | Date 24/05/2022 |
| Token No | SM/22-23/13606 07/12/2023 | Serial | 009 |
| Patient Name | Mrs. SAJDA KHATUN | Contact No | NOT GIVEN |
| Address | 15 BAZAR BYE LANE | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||