Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15701 | Date 17/07/2025 |
| Token No | SM/25-26/3714 17/07/2025 | Serial | 024 Last Visit: 17/07/2025 |
| Patient Name | Mrs. JHARNA MAJHI | Contact No | 9088449193 |
| Address | G T ROAD BAIDYABATI (M) | Age | 39 Years,6 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 119/67 mmHg | Weight | 79.4 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 33.479508 |
| Diagnosis | |||