Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03129 | Date 22/01/2019 |
| Token No | SM/18-19/7244 22/01/2019 | Serial | 015 Last Visit: 22/01/2019 |
| Patient Name | Mrs. FARIDA BIBI | Contact No | 8013425408 |
| Address | DIARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||