Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10322 | Date 07/09/2023 |
| Token No | SM/24-25/17472 11/07/2024 | Serial | 023 |
| Patient Name | Mrs. RINA CHOWDHURY | Contact No | NOT GIVEN |
| Address | NOTUN BAGAN | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||