Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02595 | Date 24/07/2019 |
| Token No | SM/21-22/734 28/07/2021 | Serial | 002 |
| Patient Name | Mrs. SARBANI MALIK | Contact No | 8240198024 |
| Address | 12 A B GARDEN LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||