Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01431 | Date 29/09/2018 |
| Token No | SM/18-19/2268 29/09/2018 | Serial | 056 Last Visit: 29/09/2018 |
| Patient Name | Mrs. MOCHINA BIBI | Contact No | |
| Address | 7/C ARBINDO SARANI | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||