Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02689 | Date 27/12/2018 |
| Token No | SM/21-22/1507 18/05/2021 | Serial | 027 Last Visit: 21/01/2023 |
| Patient Name | Mrs. CHANDANA PATRA | Contact No | 9804344839 |
| Address | RAMKRISHNA BY LANE CHATRA | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||