Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15191 | Date 05/04/2025 |
| Token No | SM/25-26/1117 08/05/2025 | Serial | 018 Last Visit: 24/07/2025 |
| Patient Name | Mrs. ELEENA BISMAYEE SAHOO | Contact No | 9742811385 |
| Address | 26/D RAJA K.L GOSWAMI STREET | Age | 34 Years,1 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60.2 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 26.755556 |
| Diagnosis | |||