Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09901 | Date 02/08/2021 |
| Token No | SM/25-26/1975 30/05/2025 | Serial | 023 Last Visit: 29/08/2025 |
| Patient Name | Mrs. BULBULI PATRA | Contact No | 8013954944 |
| Address | 18,G.T ROAD BAIDHYABATI | Age | 32 Years,2 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/60 mmHg | Weight | 38.5 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 18.827327 |
| Diagnosis | |||