Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12216 | Date 07/10/2024 |
| Token No | SM/24-25/19261 07/10/2024 | Serial | 048 |
| Patient Name | Mrs. SAMINA KHATUN | Contact No | 7250150907 |
| Address | A B GARDEN LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||