Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06991 | Date 08/09/2022 |
| Token No | SM/22-23/5001 08/09/2022 | Serial | 020 |
| Patient Name | Mrs. NURJAHAN BIBI | Contact No | NOT GIVEN |
| Address | 10 SHIL BAGAN | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||