Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00043 | Date 02/08/2018 |
| Token No | SM/19-20/17287 27/01/2020 | Serial | 082 Last Visit: 20/03/2023 |
| Patient Name | Mrs. MUKTI PATRA | Contact No | 8609507508 |
| Address | PARBATI PUR | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||