Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04958 | Date 30/09/2021 |
| Token No | SM/21-22/1219 30/09/2021 | Serial | 005 |
| Patient Name | Mrs. MANSURA KHAN | Contact No | 9123950868 |
| Address | 27/A MUSALMAN PARA LANE | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||