Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00932 | Date 05/09/2018 |
| Token No | SM/18-19/1263 05/09/2018 | Serial | 039 Last Visit: 05/09/2018 |
| Patient Name | Mrs. EKIMON BIBI | Contact No | |
| Address | 47/A MUSALMAN PARA ROAD SHEWRAPHULI | Age | 49.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 138/57 mmHg | Weight | 44 KG |
| Pulse Rate | 79 / min | Height | cm BMI: inf |
| Diagnosis | |||