Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08731 | Date 10/04/2023 |
| Token No | SM/22-23/8787 10/04/2023 | Serial | 011 |
| Patient Name | Mrs. FARIDA KHATUN | Contact No | 8240362178 |
| Address | 5/B/3/1 DEY STREET | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||