Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10832 | Date 23/03/2022 |
| Token No | SM/25-26/7725 08/11/2025 | Serial | 007 Last Visit: 04/12/2025 |
| Patient Name | Mrs. MADHABI PATRA | Contact No | 7980681390 |
| Address | 42 KUMIR JALA ROAD | Age | 59 Years,11 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 138/72 mmHg | Weight | 62.6 KG |
| Pulse Rate | 77 / min | Height | 136 cm BMI: 33.845156 |
| Diagnosis | |||