Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00114 | Date 04/08/2018 |
| Token No | SM/18-19/116 04/08/2018 | Serial | 012 Last Visit: 17/09/2024 |
| Patient Name | Mrs. CHOBI BARIK | Contact No | |
| Address | 57, CHATRA TETUL TALA | Age | 41 Years,8 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 159/86 mmHg | Weight | 54 KG |
| Pulse Rate | 85 / min | Height | cm BMI: inf |
| Diagnosis | |||