Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06013 | Date 07/06/2022 |
| Token No | SM/22-23/3311 09/06/2022 | Serial | 025 |
| Patient Name | Mrs. SABANA KHATOON | Contact No | 9903651398 |
| Address | 5 PARSHI LANE | Age | 29 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||