Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15881 | Date 11/08/2025 |
| Token No | SM/25-26/6833 10/10/2025 | Serial | 024 Last Visit: 10/10/2025 |
| Patient Name | Mrs. BIJAYA KOLEY | Contact No | 8336909121 |
| Address | PAHALAMPUR | Age | 65 Years,9 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74.4 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 30.376956 |
| Diagnosis | |||