Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09493 | Date 20/04/2021 |
| Token No | SM/21-22/592 20/04/2021 | Serial | 001 Last Visit: 20/04/2021 |
| Patient Name | Mrs. ARCHANA PATRA | Contact No | 6291122120 |
| Address | PAHALAMPUR | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||