Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00095 | Date 03/08/2018 |
| Token No | SM/22-23/25472 17/10/2023 | Serial | 037 Last Visit: 29/05/2025 |
| Patient Name | Mrs. ARCHANA KHA | Contact No | |
| Address | CHATRA BARUI PARA | Age | 42 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 129/73 mmHg | Weight | 47 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||