Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03888 | Date 05/03/2020 |
| Token No | SM/22-23/9406 04/05/2023 | Serial | 026 |
| Patient Name | Mrs. CHANDA KHATOON | Contact No | 9088581802 |
| Address | TIN BAZAR | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||