Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08368 | Date 07/12/2024 |
| Token No | SM/24-25/36198 28/02/2025 | Serial | 009 |
| Patient Name | Mrs. RINKI KHATUN | Contact No | 8777595646 |
| Address | MIRPUR KOYAL PARA DANKUNI BAMUNARI MOREPUKUR 712250 | Age | 26 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||