Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05036 | Date 08/05/2019 |
| Token No | SM/19-20/2339 08/05/2019 | Serial | 030 Last Visit: 03/06/2019 |
| Patient Name | Mr. ANSAR ALI MALIK | Contact No | 9903943603 |
| Address | RAMCHANDRA PUR DIARA | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||