Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 13119 | Date 15/01/2024 |
| Token No | SM/25-26/4895 14/08/2025 | Serial | 023 Last Visit: 09/09/2025 |
| Patient Name | Mrs. NAZRA | Contact No | 7044761529 |
| Address | 25NO LALBHADUR SASTRI ROAD | Age | 20 Years,8 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.1 KG |
| Pulse Rate | / min | Height | 155.2 cm BMI: 17.063118 |
| Diagnosis | |||