Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12953 | Date 05/05/2025 |
| Token No | SM/25-26/346 05/05/2025 | Serial | 005 |
| Patient Name | Mrs. NAZMA SEKH | Contact No | 9123853401 |
| Address | 53 MUSALMAN PARA LANE | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||