Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08707 | Date 05/04/2023 |
| Token No | SM/22-23/8728 05/04/2023 | Serial | 015 |
| Patient Name | Master AYAN RAHMAN | Contact No | 8335032479 |
| Address | 32 TIKIA PARA LANE | Age | 3 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||