Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05869 | Date 20/07/2019 |
| Token No | SM/19-20/6964 20/07/2019 | Serial | 067 Last Visit: 20/07/2019 |
| Patient Name | Mrs. YASMIN BANO QURISHI | Contact No | 9883603510 |
| Address | 3/B CHATTERJEE BEY LANE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||