Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02159 | Date 27/11/2018 |
| Token No | SM/19-20/9318 28/08/2019 | Serial | 041 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 | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||