Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 14251 | Date 12/09/2024 |
| Token No | SM/25-26/5862 08/09/2025 | Serial | 053 Last Visit: 13/10/2025 |
| Patient Name | Mrs. MIRA PATRA | Contact No | 8981223643 |
| Address | 1 LAHA NAGAR COLONY BAIDYABATI (M) | Age | 65 Years,9 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 132/80 mmHg | Weight | 46.5 KG |
| Pulse Rate | / min | Height | 155.5 cm BMI: 19.230570 |
| Diagnosis | |||