Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01613 | Date 10/10/2018 |
| Token No | SM/18-19/2733 10/10/2018 | Serial | 058 Last Visit: 14/02/2019 |
| Patient Name | Mrs. SABINA BIBI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 109/70 mmHg | Weight | 47 KG |
| Pulse Rate | 100 / min | Height | cm BMI: inf |
| Diagnosis | |||