Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07928 | Date 12/12/2022 |
| Token No | SM/22-23/6931 12/12/2022 | Serial | 006 |
| Patient Name | Miss AYESHA KHATUN | Contact No | 6291103254 |
| Address | 24 A K C BHATTACHARJEE STREET | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||