Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16340 | Date 04/12/2025 |
| Token No | SM/25-26/8561 04/12/2025 | Serial | 007 Last Visit: 09/12/2025 |
| Patient Name | Mrs. RESHMA KHATOON | Contact No | 9681066418 |
| Address | 21 NO PARSHI LANE | Age | 31 Years,11 Months,7 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||