Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11986 | Date 18/03/2023 |
| Token No | SM/22-23/21057 10/04/2023 | Serial | 004 Last Visit: 09/09/2023 |
| Patient Name | Mrs. PUJA DAS | Contact No | 6290225808 |
| Address | 85/B KUMIRJELA ROAD | Age | 24 Years,8 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.6 KG |
| Pulse Rate | / min | Height | 139 cm BMI: 23.601263 |
| Diagnosis | |||