Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04753 | Date 08/08/2023 |
| Token No | SM/22-23/11530 08/08/2023 | Serial | 051 |
| Patient Name | Mrs. JUHINA KHATUN | Contact No | 8648867353 |
| Address | BAMUNARI MIRPUR BAMUNARI 712250 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||