Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16062 | Date 15/09/2025 |
| Token No | SM/25-26/6557 25/09/2025 | Serial | 040 Last Visit: 25/09/2025 |
| Patient Name | Mrs. SUNITA RAJBHAR | Contact No | 7439438843 |
| Address | 12 LAL BAHADUR SASTRI ROAD | Age | 39 Years,8 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.8 KG |
| Pulse Rate | / min | Height | 148.6 cm BMI: 25.722354 |
| Diagnosis | |||