Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03802 | Date 22/02/2019 |
| Token No | SM/18-19/9287 22/02/2019 | Serial | 064 Last Visit: 22/02/2019 |
| Patient Name | Mr. SADESH PATRA | Contact No | 8981173073 |
| Address | CHATO BELUR | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||