Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10348 | Date 08/09/2023 |
| Token No | SM/22-23/12372 08/09/2023 | Serial | 039 |
| Patient Name | Mr. MANSUR ANSARI... | Contact No | 8777289516 |
| Address | 84 DEYSTREET | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||