Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06777 | Date 18/08/2022 |
| Token No | SM/22-23/4601 18/08/2022 | Serial | 011 |
| Patient Name | Mr. MD. NAVED AKSTAR | Contact No | 6291909671 |
| Address | 5/B/3/1 DEY ST | Age | 20 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||