Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16221 | Date 01/11/2025 |
| Token No | SM/25-26/8392 28/11/2025 | Serial | 030 Last Visit: 28/11/2025 |
| Patient Name | Mr. GOBINDA PATRA | Contact No | |
| Address | 5 NO P J MILL LINE BAGKHAL RISHRA | Age | 58 Years,10 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.1 KG |
| Pulse Rate | / min | Height | 159.5 cm BMI: 23.230904 |
| Diagnosis | |||