Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11689 | Date 21/11/2022 |
| Token No | SM/22-23/18499 02/12/2022 | Serial | 020 Last Visit: 02/12/2022 |
| Patient Name | Mrs. ANITA ADAK | Contact No | 9874628248 |
| Address | PAHALAMPUR, DIARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 18.592207 |
| Diagnosis | |||