Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14630 | Date 30/11/2024 |
| Token No | SM/25-26/5387 29/08/2025 | Serial | 002 Last Visit: 29/08/2025 |
| Patient Name | Mrs. PANCHI PARAMANIK | Contact No | |
| Address | BORA JHANKARI | Age | 67 Years,7 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | 142 cm BMI: 20.333267 |
| Diagnosis | |||