Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12296 | Date 31/07/2023 |
| Token No | SM/24-25/31092 04/04/2024 | Serial | 027 Last Visit: 19/09/2025 |
| Patient Name | Mrs. KALYANI MISTRI | Contact No | 8479926629 |
| Address | G T ROAD CHATRA, BAIDYABATI (M) | Age | 61 Years,8 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||