Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01040 | Date 11/09/2018 |
| Token No | SM/18-19/7550 29/01/2019 | Serial | 043 Last Visit: 18/09/2025 |
| Patient Name | Mr. SUBHAJIT MANNA | Contact No | 7044575198 |
| Address | 16 CHATRA CHAKRABORTY LANE | Age | 24 Years,8 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||