Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08926 | Date 29/04/2023 |
| Token No | SM/22-23/9286 29/04/2023 | Serial | 008 |
| Patient Name | Mrs. IQBAL HOSSAIN | Contact No | 9830857499 |
| Address | INDIA JUTE MILL | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||