Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06977 | Date 08/09/2022 |
| Token No | SM/24-25/17019 20/06/2024 | Serial | 021 |
| Patient Name | Miss ROZINA KHATUN | Contact No | 8481986609 |
| Address | 2/B MIYAJAN DARJI LANE | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||