Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00669 | Date 24/08/2018 |
| Token No | SM/18-19/815 24/08/2018 | Serial | 013 Last Visit: 24/08/2018 |
| Patient Name | Mr. MUSTAFA | Contact No | |
| Address | PIR TALA (NOGAMOR) | Age | 7.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||