Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01800 | Date 31/10/2018 |
| Token No | SM/20-21/30566 10/03/2021 | Serial | 004 Last Visit: 10/03/2021 |
| Patient Name | Mrs. SAIDAN BIBI | Contact No | 9874400652 |
| Address | 63, N.N RAY STREET | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||