Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00747 | Date 27/08/2018 |
| Token No | SM/21-22/2160 11/06/2021 | Serial | 026 Last Visit: 11/06/2021 |
| Patient Name | Mrs. SAIRA BIBI | Contact No | 6289362414 |
| Address | 3, CHATRA MUSALMAN PARA | Age | 52.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||