Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01227 | Date 19/09/2018 |
| Token No | SM/18-19/8830 18/02/2019 | Serial | 003 Last Visit: 13/10/2025 |
| Patient Name | Mr. DEBABRATA MANNA | Contact No | 9339418168 |
| Address | 16 CHAKRABORTY LANE | Age | 53 Years,9 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||