Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00308 | Date 10/08/2018 |
| Token No | SM/18-19/332 10/08/2018 | Serial | 020 Last Visit: 10/08/2018 |
| Patient Name | Mrs. KULSUM BIBI | Contact No | |
| Address | CHATRA MANA PARA | Age | 65.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/75 mmHg | Weight | 45 KG |
| Pulse Rate | 86 / min | Height | cm BMI: inf |
| Diagnosis | |||