Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08134 | Date 06/01/2023 |
| Token No | SM/22-23/7408 06/01/2023 | Serial | 023 |
| Patient Name | Miss NEHA CHOWDHURY. | Contact No | 9330753172 |
| Address | 62 RAILAND ROAD | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||