Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01169 | Date 15/09/2018 |
| Token No | SM/18-19/1715 15/09/2018 | Serial | 035 Last Visit: 15/09/2018 |
| Patient Name | Mrs. JAMEDA BIBI | Contact No | 7003110689 |
| Address | MUSALMAN PARA | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||