Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01915 | Date 05/11/2018 |
| Token No | SM/21-22/5878 07/10/2021 | Serial | 061 Last Visit: 13/12/2025 |
| Patient Name | Mr. KANAILAL PARAMANIK | Contact No | 8583924333 |
| Address | CHATRA DUTTA PARA | Age | 81 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||