Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08133 | Date 06/01/2023 |
| Token No | SM/22-23/7407 06/01/2023 | Serial | 022 |
| Patient Name | Miss NISHA CHOWDHURY. | Contact No | 8303014827 |
| Address | 62 RAILAND ROAD | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||