Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12253 | Date 18/07/2023 |
| Token No | SM/22-23/22974 18/07/2023 | Serial | 029 Last Visit: 18/07/2023 |
| Patient Name | Mrs. MADHABI SAMANTA | Contact No | 9836605852 |
| Address | 9 P N CHAKRABORTY LANE CHATRA | Age | 32 Years,6 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68.6 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 28.738702 |
| Diagnosis | |||