Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02088 | Date 22/11/2018 |
| Token No | SM/19-20/23075 13/06/2020 | Serial | 034 Last Visit: 25/07/2025 |
| Patient Name | Mrs. SARINA BIBI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 55 Years,6 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||