Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11023 | Date 19/05/2022 |
| Token No | SM/22-23/12641 19/05/2022 | Serial | 025 Last Visit: 14/10/2022 |
| Patient Name | Miss MOHONA RAM | Contact No | 9239661619 |
| Address | 22 (18/1) SHITALATALA ROAD BAIDYABATI(M) CHATRA | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | 159.5 cm BMI: 14.936960 |
| Diagnosis | |||