Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05684 | Date 07/04/2022 |
| Token No | SM/22-23/2680 07/04/2022 | Serial | 009 |
| Patient Name | Mr. WASIM JAFAR | Contact No | 9123972306 |
| Address | DEY STREET | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||