Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05720 | Date 10/07/2019 |
| Token No | SM/22-23/18110 22/11/2022 | Serial | 011 Last Visit: 22/11/2022 |
| Patient Name | Mrs. MOLINA ADAK | Contact No | |
| Address | CHATRA KUMAR BAGAN | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | 143.8 cm BMI: 20.794605 |
| Diagnosis | |||