Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02155 | Date 27/11/2018 |
| Token No | SM/18-19/5192 13/12/2018 | Serial | 039 Last Visit: 10/05/2019 |
| Patient Name | Mrs. MALA KARAR | Contact No | 9332974409 |
| Address | 3 BURO BIBI LANE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||