Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10915 | Date 11/12/2023 |
| Token No | SM/22-23/13674 11/12/2023 | Serial | 015 |
| Patient Name | Mrs. SANA KHATUN | Contact No | 9163910880 |
| Address | 21 MUSALMAN PARA | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||