Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00220 | Date 07/08/2018 |
| Token No | SM/22-23/18266 25/11/2022 | Serial | 014 Last Visit: 09/01/2023 |
| Patient Name | Mrs. JANSARINA BIBI | Contact No | 8420973277 |
| Address | 7/D, KUMOR PARA, CHATRA | Age | 42 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 34.626039 |
| Diagnosis | |||