Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01527 | Date 27/12/2018 |
| Token No | SM/18-19/2573 22/02/2019 | Serial | 016 |
| Patient Name | Mrs. RIMA BIBI | Contact No | 9088055787 |
| Address | 16 K.M SHA STREET | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||