Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07624 | Date 25/02/2020 |
| Token No | SM/21-22/9155 20/01/2022 | Serial | 014 Last Visit: 10/06/2022 |
| Patient Name | Mrs. MANGALA PATRA | Contact No | 8420864900 |
| Address | PAHALAMPUR,DIYARA | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||