Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01479 | Date 03/10/2018 |
| Token No | SM/18-19/2722 10/10/2018 | Serial | 047 Last Visit: 10/10/2018 |
| Patient Name | Mrs. MOINA KHATOON | Contact No | |
| Address | 48 N N ROY STREET | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||