Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05486 | Date 20/06/2019 |
| Token No | SM/19-20/4883 20/06/2019 | Serial | 023 Last Visit: 01/04/2020 |
| Patient Name | Baby MD SANAWAZ | Contact No | 9874142203 |
| Address | 21 MUSALMAN PARA LANE | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||