Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10088 | Date 22/08/2023 |
| Token No | SM/22-23/11919 23/08/2023 | Serial | 041 |
| Patient Name | Mrs. RINA SHAW | Contact No | 8013146858 |
| Address | TIN BAZAR | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||