Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06992 | Date 08/09/2022 |
| Token No | SM/22-23/5002 08/09/2022 | Serial | 021 |
| Patient Name | Mrs. NAZRA KHATOON | Contact No | 7044761529 |
| Address | 25 L.B.S ROAD | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||