Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12955 | Date 05/05/2025 |
| Token No | SM/25-26/684 06/06/2025 | Serial | 004 |
| Patient Name | Mrs. MUSKAN KHATUN | Contact No | 6289759625 |
| Address | 19 NO AKCB STREET | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||