Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03725 | Date 20/02/2019 |
| Token No | SM/19-20/6310 11/07/2019 | Serial | 060 Last Visit: 06/08/2019 |
| Patient Name | Mrs. RAHIMA BIBI | Contact No | 7890081316 |
| Address | 1 CHILE KHANA ROAD MALIK PARA | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||