Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 03906 | Date 14/03/2020 |
| Token No | SM/19-20/8682 14/03/2020 | Serial | 001 |
| Patient Name | Mrs. BABY SHAW | Contact No | 7980998075 |
| Address | TIN BAZAR | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||