Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15799 | Date 30/07/2025 |
| Token No | SM/25-26/4291 30/07/2025 | Serial | 056 Last Visit: 01/08/2025 |
| Patient Name | Mrs. KARUNA BARIK | Contact No | 8240554017 |
| Address | CHOTOBELU BELUMILKI | Age | 57 Years,7 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 183/99 mmHg | Weight | 46.9 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 22.935107 |
| Diagnosis | |||