Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11692 | Date 24/06/2024 |
| Token No | SM/24-25/17089 24/06/2024 | Serial | 020 |
| Patient Name | Mrs. HAJERA KHATUN | Contact No | 7980553606 |
| Address | 21 DEY STREET | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||