Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00371 | Date 11/08/2018 |
| Token No | SM/18-19/405 11/08/2018 | Serial | 037 Last Visit: 11/08/2018 |
| Patient Name | Master MD SALMAN | Contact No | |
| Address | MUSALMAN PARA | Age | 2.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||