Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11694 | Date 22/11/2022 |
| Token No | SM/22-23/18106 22/11/2022 | Serial | 007 Last Visit: 22/11/2022 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | 9874628248 |
| Address | PIARAPARA(P),SHEORAPHULY | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 21.027923 |
| Diagnosis | |||