Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08232 | Date 07/05/2020 |
| Token No | SM/19-20/22018 07/05/2020 | Serial | 006 Last Visit: 07/05/2020 |
| Patient Name | Mrs. RRIYA PATRA | Contact No | 9804558218 |
| Address | PAHALAMPUR | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||