Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08680 | Date 28/08/2020 |
| Token No | SM/19-20/25272 28/08/2020 | Serial | 026 Last Visit: 28/08/2020 |
| Patient Name | Mrs. SIKHA PATRA | Contact No | 8583978090 |
| Address | 2,RAMKRISHNA BY LANE.BAIDYABATI(M) | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||