Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00434 | Date 14/08/2018 |
| Token No | SM/21-22/8092 24/12/2021 | Serial | 025 Last Visit: 17/12/2025 |
| Patient Name | Mrs. RENUKA DAS | Contact No | 9477356052 |
| Address | LONKAR BAGAN, CHATRA | Age | 56 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 150.2 cm BMI: 33.244622 |
| Diagnosis | |||