Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09399 | Date 26/03/2021 |
| Token No | SM/20-21/31228 26/03/2021 | Serial | 039 Last Visit: 26/03/2021 |
| Patient Name | Mrs. SUNITA PADHAN | Contact No | 7001136152 |
| Address | KATAPALI ODISHA | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||