Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05345 | Date 25/01/2022 |
| Token No | SM/22-23/3780 07/07/2022 | Serial | 002 |
| Patient Name | Mrs. NAFISHA KHATUN | Contact No | 9875591723 |
| Address | 22 AKC BHATTACHARYA STREET | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||