Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06806 | Date 23/08/2022 |
| Token No | SM/22-23/4658 23/08/2022 | Serial | 011 |
| Patient Name | Mrs. AFROZA BEGUM | Contact No | 9123878361 |
| Address | 27 MUSALMAN PARA LANE | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||