Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04197 | Date 13/03/2019 |
| Token No | SM/18-19/10501 13/03/2019 | Serial | 028 Last Visit: 13/03/2019 |
| Patient Name | Mrs. TALMUN QURESHI | Contact No | 9874150886 |
| Address | 32 CHAI ROAD RISHRA(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||