Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07391 | Date 21/01/2020 |
| Token No | SM/19-20/17019 21/01/2020 | Serial | 063 Last Visit: 21/01/2020 |
| Patient Name | Mrs. SELIMA BIBI | Contact No | 9007919939 |
| Address | 20 MUSALMAN PARA CHATRA | Age | 38 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||