Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04966 | Date 29/04/2019 |
| Token No | SM/19-20/1879 29/04/2019 | Serial | 035 Last Visit: 14/08/2024 |
| Patient Name | Mr. MANI KANTA POLLEY | Contact No | 8100819799 |
| Address | 17 CHAKRABORTY LANE CHATRA SERAMPORE | Age | 41 Years,7 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||