Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02203 | Date 07/06/2019 |
| Token No | SM/18-19/4006 07/06/2019 | Serial | 003 |
| Patient Name | Mrs. BANDANA MALIK | Contact No | 9163854339 |
| Address | 11 ANNADA BABU GARDEN LANE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||