Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01542 | Date 05/10/2018 |
| Token No | SM/18-19/2535 05/10/2018 | Serial | 056 Last Visit: 05/10/2018 |
| Patient Name | Miss ZENAB ZABI | Contact No | 8981424216 |
| Address | 45/A N NROY STREET | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||