Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11459 | Date 29/04/2024 |
| Token No | SM/24-25/17772 27/07/2024 | Serial | 002 |
| Patient Name | Mrs. KHUSHBUN NESHA | Contact No | 7003966973 |
| Address | 84 DEY STREET | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||