Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16258 | Date 10/11/2025 |
| Token No | SM/25-26/7794 10/11/2025 | Serial | 014 Last Visit: 11/12/2025 |
| Patient Name | Mrs. SUBHADRA BEHARA | Contact No | 6291961731 |
| Address | 7 DR.T P.BHATTACHARYA STREET | Age | 30 Years,5 Months,3 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40.5 KG |
| Pulse Rate | / min | Height | 146 cm BMI: 18.999812 |
| Diagnosis | |||