Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03577 | Date 06/01/2023 |
| Token No | SM/22-23/6606 06/02/2023 | Serial | 036 |
| Patient Name | Mrs. ANISA KHATUN | Contact No | 7439993929 |
| Address | 89 C MALLIK PARA 712203 | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||