Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03972 | Date 26/06/2020 |
| Token No | SM/19-20/9044 12/11/2020 | Serial | 004 |
| Patient Name | Mrs. ANIMA MALIK | Contact No | NOT GIVEN |
| Address | A B GARDEN LANE | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||