Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08935 | Date 02/05/2023 |
| Token No | SM/22-23/9299 02/05/2023 | Serial | 011 |
| Patient Name | Mrs. MD JIYAUL AHAMED | Contact No | NOT GIVEN |
| Address | AKC BHATTACHARYA ST | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||