Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06981 | Date 08/09/2022 |
| Token No | SM/22-23/5094 13/09/2022 | Serial | 020 |
| Patient Name | Mrs. FARIDA PARVEEN | Contact No | 8617769736 |
| Address | 5 PARSHI LANE | Age | 19 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||