Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10648 | Date 05/10/2023 |
| Token No | SM/22-23/12961 05/10/2023 | Serial | 007 |
| Patient Name | Master ROSHAN HELA | Contact No | NOT GIVEN |
| Address | 11 DOSTI LANE | Age | 8 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||