Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 11753 | Date 08/07/2024 |
| Token No | SM/24-25/17393 08/07/2024 | Serial | 002 |
| Patient Name | Master SK SHAYAN HOSSAIN | Contact No | 9558153453 |
| Address | 17A MALLICKPARA LANE | Age | 7 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||