Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05942 | Date 25/07/2019 |
| Token No | SM/19-20/7393 27/07/2019 | Serial | 005 Last Visit: 27/07/2019 |
| Patient Name | Mr. DILDAR ALI | Contact No | 6291234808 |
| Address | CHATRA MUSALMAN PARA ROAD | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||