Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07963 | Date 16/12/2022 |
| Token No | SM/24-25/20134 11/12/2024 | Serial | 009 |
| Patient Name | Mr. SK TANVIR ALI | Contact No | 6291103254 |
| Address | DEY STREET | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||