Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02946 | Date 10/01/2019 |
| Token No | SM/19-20/2691 14/05/2019 | Serial | 005 Last Visit: 23/07/2025 |
| Patient Name | Mr. LAKSHMIKANTA MANNA | Contact No | 8017971847 |
| Address | 202 BAGER BAGAN TELI PARA , BAIDYABATI (M) | Age | 52 Years,6 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||