Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10482 | Date 31/12/2021 |
| Token No | SM/22-23/26741 04/12/2023 | Serial | 034 Last Visit: 08/08/2025 |
| Patient Name | Mrs. FULPATI DEVI | Contact No | 9007282945 |
| Address | 40/2 L. B S ROAD | Age | 72 Years,7 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.1 KG |
| Pulse Rate | / min | Height | 137.5 cm BMI: 23.854545 |
| Diagnosis | |||