Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01915 | Date 05/11/2018 |
| Token No | SM/19-20/10240 12/09/2019 | Serial | 058 Last Visit: 13/12/2025 |
| Patient Name | Mr. KANAILAL PARAMANIK | Contact No | 8583924333 |
| Address | CHATRA DUTTA PARA | Age | 81 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||