Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13863 | Date 12/12/2025 |
| Token No | SM/25-26/2988 13/12/2025 | Serial | 004 |
| Patient Name | Mrs. NASEEMA KHATOON | Contact No | 7003571186 |
| Address | 21 N L B STREET | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||