Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12141 | Date 07/06/2023 |
| Token No | SM/22-23/23647 18/08/2023 | Serial | 021 Last Visit: 28/10/2024 |
| Patient Name | Mrs. SOVA PAUL | Contact No | 9231668622 |
| Address | 34 KUMOR PARA LANE CHATRA | Age | 58 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/64 mmHg | Weight | 49.3 KG |
| Pulse Rate | 72 / min | Height | cm BMI: inf |
| Diagnosis | |||