Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 16243 | Date 06/11/2025 |
| Token No | SM/25-26/7613 06/11/2025 | Serial | 004 Last Visit: 17/12/2025 |
| Patient Name | Mrs. SIMA KUMARI SINGH | Contact No | 9660541499 |
| Address | 42 K.M. BHATTACHARYA STREET | Age | 29 Years,4 Months,28 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 29.325206 |
| Diagnosis | |||