Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12059 | Date 04/09/2024 |
| Token No | SM/24-25/18582 04/09/2024 | Serial | 018 |
| Patient Name | Miss RANI KHATUN | Contact No | 8910639637 |
| Address | 4 K M B STREET | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||