Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 16273 | Date 15/11/2025 |
| Token No | SM/25-26/8052 17/11/2025 | Serial | 012 Last Visit: 17/11/2025 |
| Patient Name | Mrs. PUNAM DEVI | Contact No | 8584887354 |
| Address | 27 BAZAR BYE LANE | Age | 19 Years,3 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.9 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 19.128926 |
| Diagnosis | |||