Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07749 | Date 21/11/2022 |
| Token No | SM/22-23/6498 21/11/2022 | Serial | 038 |
| Patient Name | Mr. SAMER ALAM | Contact No | NOT GIVEN |
| Address | JOLKOL WORKER | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||