Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07553 | Date 09/11/2022 |
| Token No | SM/22-23/6110 09/11/2022 | Serial | 003 |
| Patient Name | Miss NAZIA KHATUN | Contact No | 7044727445 |
| Address | 16 BAZAR BYE LANE | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||