Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00135 | Date 04/08/2018 |
| Token No | SM/18-19/4464 30/11/2018 | Serial | 053 Last Visit: 17/06/2025 |
| Patient Name | Mrs. ASMA BIBI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 52 Years,5 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||