Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04627 | Date 08/04/2019 |
| Token No | SM/19-20/1612 24/04/2019 | Serial | 082 Last Visit: 30/07/2019 |
| Patient Name | Mrs. RUBINA BIBI | Contact No | 6289688121 |
| Address | 11 CHATRA MUSALMAN PARA | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||