Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16069 | Date 18/09/2025 |
| Token No | SM/25-26/6233 18/09/2025 | Serial | 007 Last Visit: 18/09/2025 |
| Patient Name | Mr. GOPAL BARIK | Contact No | |
| Address | CHOTOBELU BELUMILKI | Age | 70 Years,8 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 163/93 mmHg | Weight | 45.7 KG |
| Pulse Rate | 78 / min | Height | 153 cm BMI: 19.522406 |
| Diagnosis | |||