Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12165 | Date 17/06/2023 |
| Token No | SM/22-23/22289 17/06/2023 | Serial | 011 Last Visit: 17/06/2023 |
| Patient Name | Mrs. KAKALI PATRA | Contact No | |
| Address | CHOTO BELUR CHECK POST | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.5 KG |
| Pulse Rate | / min | Height | 149.4 cm BMI: 21.281019 |
| Diagnosis | |||