Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11310 | Date 23/03/2024 |
| Token No | SM/22-23/15462 27/03/2024 | Serial | 042 |
| Patient Name | Mr. ABDUL SATTAR | Contact No | 9123331886 |
| Address | 21 DR. N L B STREET | Age | 86 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||