Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05365 | Date 31/01/2022 |
| Token No | SM/24-25/21376 19/03/2025 | Serial | 014 |
| Patient Name | Mr. SK YAAD HOSSAIN | Contact No | 8100527632 |
| Address | 10 GOPINATH SHA STREET | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||