Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05740 | Date 11/07/2019 |
| Token No | SM/19-20/6316 11/07/2019 | Serial | 066 Last Visit: 01/11/2025 |
| Patient Name | Mr. MALAY MANNA | Contact No | 9836099712 |
| Address | 301J/A TELIPARA LANE, CHATRA, BAIDYABATI(M) | Age | 51 Years,10 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||