Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01301 | Date 24/09/2018 |
| Token No | SM/18-19/4541 03/12/2018 | Serial | 007 Last Visit: 10/09/2024 |
| Patient Name | Mr. MADHUSUDAN PATRA | Contact No | 9830605457 |
| Address | 21 CHATRA BAZER ROAD | Age | 86 Years,8 Months,9 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||