Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06019 | Date 07/06/2022 |
| Token No | SM/22-23/3258 07/06/2022 | Serial | 024 |
| Patient Name | Mrs. RUKSANA KHATUN | Contact No | 9883633422 |
| Address | 19 T.C GOSWAMI STREET | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||