Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 15667 | Date 07/07/2025 |
| Token No | SM/25-26/3427 11/07/2025 | Serial | 052 Last Visit: 11/07/2025 |
| Patient Name | Mrs. RITA GOPE | Contact No | 7890733398 |
| Address | 168 RAJYADHARPUR,GOVT.COLONY | Age | 50 Years,6 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66.1 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 27.871479 |
| Diagnosis | |||