Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08993 | Date 24/11/2020 |
| Token No | SM/20-21/27743 24/11/2020 | Serial | 062 Last Visit: 18/07/2022 |
| Patient Name | Mrs. KASIDA BIBI | Contact No | |
| Address | 21 MUSALMAN PARA BYE LANE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||