Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00600 | Date 21/08/2018 |
| Token No | SM/18-19/713 21/08/2018 | Serial | 011 Last Visit: 25/08/2018 |
| Patient Name | Mr. JAYANTA PATRA | Contact No | 8420318556 |
| Address | 21, CHTARA BAJAR ROAD | Age | 45.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 116/74 mmHg | Weight | 65 KG |
| Pulse Rate | 73 / min | Height | cm BMI: inf |
| Diagnosis | |||