Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11506 | Date 30/08/2022 |
| Token No | SM/22-23/16169 30/08/2022 | Serial | 032 Last Visit: 30/08/2022 |
| Patient Name | Mrs. MADHUSMITA PANDA | Contact No | 7008876221 |
| Address | 3/C DUTTA PARA | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||