Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 09213 | Date 02/06/2023 |
| Token No | SM/22-23/9920 02/06/2023 | Serial | 001 |
| Patient Name | Mrs. YASMIN BEGUM | Contact No | 6290261392 |
| Address | 63/2 R K ROAD | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||