Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05763 | Date 26/04/2022 |
| Token No | SM/22-23/7636 02/02/2023 | Serial | 005 |
| Patient Name | Miss SABINA KHAN | Contact No | 9331850502 |
| Address | 27 MUSALMAN PARA LANE | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||