Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15693 | Date 14/07/2025 |
| Token No | SM/25-26/3866 19/07/2025 | Serial | 080 Last Visit: 19/07/2025 |
| Patient Name | Mrs. RUPA PAL | Contact No | 8145776384 |
| Address | KUMOR PARA LANE CHATRA | Age | 54 Years,0 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 28.906275 |
| Diagnosis | |||