Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12312 | Date 11/11/2024 |
| Token No | SM/24-25/19641 11/11/2024 | Serial | 007 |
| Patient Name | Mrs. YASMINA KHATUN | Contact No | 9062843642 |
| Address | 49 N L B STREET | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||