Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06993 | Date 08/09/2022 |
| Token No | SM/22-23/5003 08/09/2022 | Serial | 022 |
| Patient Name | Mrs. JAIMUN NISA | Contact No | 8100388107 |
| Address | 3 PARSHI LANE | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||