Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08158 | Date 27/04/2020 |
| Token No | SM/19-20/21641 27/04/2020 | Serial | 068 Last Visit: 25/09/2025 |
| Patient Name | Mrs. PUSHPA MAJHI | Contact No | 9903365186 |
| Address | 23 BENIYAPARA LANE | Age | 67 Years,8 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||