Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10537 | Date 10/01/2022 |
| Token No | SM/21-22/8756 10/01/2022 | Serial | 038 Last Visit: 10/01/2022 |
| Patient Name | Mrs. JYOTSNA DAS | Contact No | 9903006594 |
| Address | 107/F/F G.T ROAD CHATRA | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | 169 cm BMI: 33.262141 |
| Diagnosis | |||