Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11350 | Date 28/07/2022 |
| Token No | SM/22-23/15103 28/07/2022 | Serial | 001 Last Visit: 28/07/2022 |
| Patient Name | Mrs. RASIDA PARBIN | Contact No | |
| Address | 16,PARSHI LANE | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||