Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00930 | Date 05/09/2018 |
| Token No | SM/18-19/1259 05/09/2018 | Serial | 035 Last Visit: 05/09/2018 |
| Patient Name | Mrs. RAHISA BIBI | Contact No | |
| Address | 11, MUSALMAN PARA CHATRA | Age | 30.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 101/68 mmHg | Weight | 59 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||