Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11704 | Date 26/06/2024 |
| Token No | SM/24-25/17252 01/07/2024 | Serial | 012 |
| Patient Name | Mr. SK ASGAR VALI | Contact No | 8420971653 |
| Address | 16 K M SHA STREET | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||