Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00445 | Date 14/08/2018 |
| Token No | SM/19-20/23347 24/06/2020 | Serial | 019 Last Visit: 24/06/2020 |
| Patient Name | Mrs. MEHRUN | Contact No | |
| Address | 41 MUSALMAN PARA | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||