Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00049 | Date 02/08/2018 |
| Token No | SM/22-23/12669 19/05/2022 | Serial | 053 Last Visit: 17/09/2024 |
| Patient Name | Mrs. RINA LAHA | Contact No | 9903997329 |
| Address | 49 BARUIPARA LANE, CHATRA | Age | 53 Years,8 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 155/90 mmHg | Weight | 61 KG |
| Pulse Rate | 89 / min | Height | cm BMI: inf |
| Diagnosis | |||