Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13766 | Date 22/11/2025 |
| Token No | SM/25-26/2722 24/11/2025 | Serial | 009 |
| Patient Name | Mrs. DURGA MALIK | Contact No | 7760956184 |
| Address | HARIPUR, DIARA | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||