Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15219 | Date 17/04/2025 |
| Token No | SM/25-26/1163 09/05/2025 | Serial | 001 Last Visit: 08/09/2025 |
| Patient Name | Mrs. AFSANA KHATOON | Contact No | 8697095460 |
| Address | 48 NO MUSALMANPARA ROAD CHATRA | Age | 24 Years,0 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.9 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 24.607378 |
| Diagnosis | |||