Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06111 | Date 16/06/2022 |
| Token No | SM/22-23/3574 23/06/2022 | Serial | 021 |
| Patient Name | Mrs. AFRIN PARVEEN | Contact No | 9330109282 |
| Address | 18 PARSI LANE | Age | 22 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||