Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00568 | Date 20/08/2018 |
| Token No | SM/25-26/3642 16/07/2025 | Serial | 033 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, | Charge | Free |
| B.P | mmHg | Weight | 56.7 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 24.221453 |
| Diagnosis | |||