Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13812 | Date 02/12/2025 |
| Token No | SM/25-26/2844 02/12/2025 | Serial | 001 |
| Patient Name | Mrs. NASRIN KHATUN | Contact No | 9051552589 |
| Address | 14 A K C B STREET | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||