Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11152 | Date 20/02/2024 |
| Token No | SM/22-23/14794 20/02/2024 | Serial | 003 |
| Patient Name | Mr. ANIKUL ISLAM | Contact No | 8001960616 |
| Address | JOLKOL OFFICE STAFF | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||