Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00568 | Date 20/08/2018 |
| Token No | SM/21-22/1431 17/05/2021 | Serial | 016 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SANTI DUBEY | Contact No | 9062765469 |
| Address | 21 CHOWDHARY PARA DOLATALA | Age | 65 Years,11 Months,11 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||