Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07815 | Date 25/11/2022 |
| Token No | SM/22-23/6651 25/11/2022 | Serial | 030 |
| Patient Name | Baby PAPIYA KHATUN | Contact No | 9875591723 |
| Address | DEY STREET | Age | 3 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||