Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03758 | Date 21/02/2019 |
| Token No | SM/18-19/10654 16/03/2019 | Serial | 036 Last Visit: 03/09/2025 |
| Patient Name | Mr. MANOJ DAS | Contact No | 9804700130 |
| Address | 3, HARIJAN ROAD BAIDYABATI(M) | Age | 44 Years,8 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||