Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13844 | Date 10/06/2024 |
| Token No | SM/24-25/33450 10/06/2024 | Serial | 002 Last Visit: 08/11/2025 |
| Patient Name | Mrs. DIPA KUMARI JHA | Contact No | 7439980411 |
| Address | 64 N.N ROY STREET | Age | 24 Years,11 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.2 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 23.504274 |
| Diagnosis | |||