Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11405 | Date 08/08/2022 |
| Token No | SM/22-23/15521 08/08/2022 | Serial | 006 Last Visit: 23/05/2024 |
| Patient Name | Mrs. FATEMA BIBI | Contact No | 7449463407 |
| Address | 5/A MUSALMAN PARA BYE LANE | Age | 50 Years,4 Months,20 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||