Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04761 | Date 09/08/2023 |
| Token No | SM/22-23/11570 09/08/2023 | Serial | 028 |
| Patient Name | Mrs. SABINA KHATUN | Contact No | 8961010566 |
| Address | BHADUA JOLDARA MOLLABER 712250 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||