Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14524 | Date 11/11/2024 |
| Token No | SM/24-25/39248 11/11/2024 | Serial | 018 Last Visit: 18/11/2024 |
| Patient Name | Miss SANGITA BARIK | Contact No | 8240554091 |
| Address | SARDAR PARA,CHOTOBALU | Age | 16 Years,3 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||