Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03333 | Date 06/12/2022 |
| Token No | SM/22-23/5031 06/12/2022 | Serial | 029 |
| Patient Name | Mrs. NAJIBUL MOLLA | Contact No | 9875629350 |
| Address | MILKI BADAM TALA SERAMPORE 712223 | Age | 25 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||