Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05687 | Date 06/07/2019 |
| Token No | SM/19-20/5975 06/07/2019 | Serial | 038 Last Visit: 11/11/2023 |
| Patient Name | Mr. JAYDEB MANIK | Contact No | 9231980336 |
| Address | 59 CHATRA DHARMOTALA SERAMPORE | Age | 50 Years,10 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||