Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02159 | Date 27/11/2018 |
| Token No | SM/18-19/7234 22/01/2019 | Serial | 005 Last Visit: 14/08/2024 |
| Patient Name | Mrs. BELARANI RAUT | Contact No | 9163957541 |
| Address | 16 CHATRA MUSALMAN PARA ROAD | Age | 57 Years,7 Months,12 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||