Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14872 | Date 22/01/2025 |
| Token No | SM/25-26/3365 10/07/2025 | Serial | 004 Last Visit: 10/07/2025 |
| Patient Name | Mrs. SHAMA PARVEEN | Contact No | 9681529185 |
| Address | 7NO ARABINDA SARANI CHATRA | Age | 20 Years,8 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.1 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 20.738588 |
| Diagnosis | |||