Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06997 | Date 27/11/2019 |
| Token No | SM/20-21/30731 15/03/2021 | Serial | 043 Last Visit: 28/09/2022 |
| Patient Name | Mrs. MINATI PATRA | Contact No | 9836952073 |
| Address | PAHALAMPUR | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||