Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08630 | Date 06/08/2020 |
| Token No | SM/19-20/24889 17/08/2020 | Serial | 051 Last Visit: 01/10/2020 |
| Patient Name | Mrs. SABNAM BANO | Contact No | 8334073986 |
| Address | 56 N. N. ROY STREET | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||