Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13061 | Date 02/01/2024 |
| Token No | SM/22-23/27715 02/01/2024 | Serial | 011 Last Visit: 20/11/2025 |
| Patient Name | Mrs. RAJNANDINI SENAPATI | Contact No | 8910169931 |
| Address | 157 MUKHERJEE PARA CHATRA , BAIDYABTAI(M), PIN- 712204 | Age | 23 Years,10 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||