Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06510 | Date 23/09/2019 |
| Token No | SM/19-20/10941 23/09/2019 | Serial | 068 Last Visit: 29/09/2020 |
| Patient Name | Mrs. AJMIRA BIBI | Contact No | 9062751139 |
| Address | 18/1 MUSALMAN PARA BYE LANE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||