Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06887 | Date 02/09/2022 |
| Token No | SM/22-23/4834 02/09/2022 | Serial | 030 |
| Patient Name | Mr. KAZI AJIJUL ISLAM | Contact No | 8346943671 |
| Address | RAY LAND ROAD | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||