Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06081 | Date 13/06/2022 |
| Token No | SM/22-23/3373 13/06/2022 | Serial | 024 |
| Patient Name | Mrs. TABASSUM ARA | Contact No | 7439068394 |
| Address | 37 L B S ROAD | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||