Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04581 | Date 05/04/2019 |
| Token No | SM/19-20/367 05/04/2019 | Serial | 073 Last Visit: 05/04/2019 |
| Patient Name | Miss RUKHSANA KHATUOON | Contact No | 9088531849 |
| Address | 17 BAZER BY LANE(,TIN BAZER) | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||