Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06412 | Date 20/07/2022 |
| Token No | SM/22-23/3938 20/07/2022 | Serial | 022 |
| Patient Name | Mr. MD KUDDUS | Contact No | 9836045694 |
| Address | 29 MUSAL MAN PARA LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||