Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03972 | Date 26/06/2020 |
| Token No | SM/21-22/1645 15/12/2021 | Serial | 006 |
| Patient Name | Mrs. ANIMA MALIK | Contact No | NOT GIVEN |
| Address | A B GARDEN LANE | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||