Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02245 | Date 30/11/2018 |
| Token No | SM/18-19/8935 18/02/2019 | Serial | 108 Last Visit: 21/12/2021 |
| Patient Name | Mr. MADHUSUDHAN PATRA | Contact No | |
| Address | CHATRA BAZAR ROAD | Age | 85YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||