Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07867 | Date 20/03/2020 |
| Token No | SM/19-20/24461 25/07/2020 | Serial | 015 Last Visit: 28/10/2025 |
| Patient Name | Mr. MANOJ DHAR | Contact No | 8910720543 |
| Address | 33 K.M. BHATTACHARJEE STREET | Age | 44 Years,9 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||