Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07951 | Date 15/12/2022 |
| Token No | SM/22-23/7006 15/12/2022 | Serial | 015 |
| Patient Name | Miss ANAYA AFRIN | Contact No | 8100296626 |
| Address | 41 K.M. SHA STREET | Age | 1 MONTH Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||