Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06998 | Date 27/11/2019 |
| Token No | SM/19-20/14115 27/11/2019 | Serial | 024 Last Visit: 27/11/2019 |
| Patient Name | Mr. DILIP PATRA | Contact No | 9836952073 |
| Address | PAHALAMPUR | Age | 57 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||