Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05542 | Date 24/06/2019 |
| Token No | SM/19-20/5196 24/06/2019 | Serial | 062 Last Visit: 24/06/2019 |
| Patient Name | Mrs. SAJDA BIBI | Contact No | 9641044164 |
| Address | 21 CHATRA MUSALMAN PARA BY LANE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||