Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10410 | Date 13/12/2021 |
| Token No | SM/21-22/7716 13/12/2021 | Serial | 013 Last Visit: 13/12/2021 |
| Patient Name | Mrs. RINKU NAYEK | Contact No | 9804615277 |
| Address | SOUTH KAMRANGU JHARTAI HAWRAH | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 24.341758 |
| Diagnosis | |||