Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02831 | Date 04/01/2019 |
| Token No | SM/18-19/6290 05/01/2019 | Serial | 005 Last Visit: 10/01/2019 |
| Patient Name | Mrs. HAMIDAN BIBI | Contact No | 9831277112 |
| Address | CHATRA MUSALMAN PARA | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||