Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03424 | Date 07/02/2019 |
| Token No | SM/18-19/8203 07/02/2019 | Serial | 030 Last Visit: 07/02/2019 |
| Patient Name | Mrs. SAKIRA BIBI | Contact No | 7890759202 |
| Address | 11 CHATRA,MUSALMAN PARA | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||