Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07389 | Date 21/01/2020 |
| Token No | SM/21-22/3986 12/08/2021 | Serial | 016 Last Visit: 25/07/2022 |
| Patient Name | Mrs. SWAPNA DAS | Contact No | 8420987878 |
| Address | 10 P N K B ,CHATRA, | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||