Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00725 | Date 27/08/2018 |
| Token No | SM/18-19/10131 08/03/2019 | Serial | 022 Last Visit: 07/10/2025 |
| Patient Name | Mr. SUJIT MANNA | Contact No | 7890749613 |
| Address | 16 CHAKRABORTY LANE | Age | 52 Years,2 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||