Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04060 | Date 07/03/2019 |
| Token No | SM/18-19/10070 07/03/2019 | Serial | 073 Last Visit: 07/03/2019 |
| Patient Name | Mr. AHMED RAJA QUARASHI | Contact No | 8100242615 |
| Address | 25 MUSALMAN PARA LANE TIKIYA PARA | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||