Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 13316 | Date 22/02/2024 |
| Token No | SM/22-23/29456 22/02/2024 | Serial | 013 Last Visit: 09/11/2024 |
| Patient Name | Miss SUSMITA SENAPATI | Contact No | 9143555982 |
| Address | 74 MUKHERJEE PARA CHATRA BAIDYABATI (M) | Age | 22 Years,11 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||