Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02245 | Date 30/11/2018 |
| Token No | SM/21-22/7960 21/12/2021 | Serial | 016 Last Visit: 21/12/2021 |
| Patient Name | Mr. MADHUSUDHAN PATRA | Contact No | |
| Address | CHATRA BAZAR ROAD | Age | 85YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||