Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02271 | Date 01/12/2018 |
| Token No | SM/18-19/6588 10/01/2019 | Serial | 015 Last Visit: 10/01/2019 |
| Patient Name | Mrs. RABINA BIBI | Contact No | 9883044486 |
| Address | CHATRA MUSALMAN PARA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||