Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00188 | Date 07/08/2018 |
| Token No | SM/19-20/25162 25/08/2020 | Serial | 042 Last Visit: 14/11/2025 |
| Patient Name | Mr. BIRESWAR MANNA | Contact No | 9903581681 |
| Address | 2, CHATRA BAZAR ROAD, SERAMPORE | Age | 61 Years,10 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||