Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01292 | Date 24/09/2018 |
| Token No | SM/18-19/1974 24/09/2018 | Serial | 033 Last Visit: 24/09/2018 |
| Patient Name | Mrs. ASHMA BIBI | Contact No | 9748931100 |
| Address | CHATRA MUSALMAN PARA BY LANE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||