Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 02433 | Date 10/12/2018 |
| Token No | SM/18-19/4962 10/12/2018 | Serial | 010 Last Visit: 10/12/2018 |
| Patient Name | Mrs. ASHMA BIBI | Contact No | 8820151374 |
| Address | SHILBAGAN | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||