Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07084 | Date 19/09/2022 |
| Token No | SM/25-26/971 25/06/2025 | Serial | 025 |
| Patient Name | Miss NASRA ANAM | Contact No | 8583026107 |
| Address | DEY STREET | Age | 7 Y Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||