Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11849 | Date 13/01/2023 |
| Token No | SM/22-23/19690 13/01/2023 | Serial | 023 Last Visit: 13/01/2023 |
| Patient Name | Mrs. DALIA LAHA | Contact No | 9093118145 |
| Address | BARUI PARA LANE , CHATRA | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 22.506925 |
| Diagnosis | |||