Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04098 | Date 25/11/2020 |
| Token No | SM/19-20/9052 25/11/2020 | Serial | 003 |
| Patient Name | Mrs. RAMA MALIK | Contact No | 7044794442 |
| Address | DIARA | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||