Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07882 | Date 05/12/2022 |
| Token No | SM/22-23/6801 05/12/2022 | Serial | 005 |
| Patient Name | Mrs. SABANA NASRIM | Contact No | 6289423783 |
| Address | 42 PACHU GOPAL BHADURI SARANI | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||