Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10745 | Date 04/03/2022 |
| Token No | SM/21-22/10460 04/03/2022 | Serial | 012 Last Visit: 19/11/2024 |
| Patient Name | Mrs. LAKHI DAS | Contact No | |
| Address | 20 RAMKRISHNA BYE LANE BAIDYABATI CHATRA | Age | 68 Years,10 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | 135.5 cm BMI: 13.616372 |
| Diagnosis | |||