Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 16142 | Date 09/10/2025 |
| Token No | SM/25-26/6742 09/10/2025 | Serial | 002 Last Visit: 04/12/2025 |
| Patient Name | Mrs. ZEENAT PARWEEN | Contact No | 9508437826 |
| Address | 53,PANCHU GOPAL BHADURI SARANI | Age | 21 Years,8 Months,20 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50.7 KG |
| Pulse Rate | / min | Height | 155.5 cm BMI: 20.967525 |
| Diagnosis | |||