Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00640 | Date 23/08/2018 |
| Token No | SM/18-19/769 23/08/2018 | Serial | 018 Last Visit: 04/08/2022 |
| Patient Name | Mr. GOBINDA PATRA | Contact No | 9331557379 |
| Address | 21, CHATRA BAJAR ROAD | Age | 78 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/50 mmHg | Weight | 54 KG |
| Pulse Rate | 77 / min | Height | cm BMI: inf |
| Diagnosis | |||