Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01040 | Date 11/09/2018 |
| Token No | SM/21-22/7528 07/12/2021 | Serial | 024 Last Visit: 18/09/2025 |
| Patient Name | Mr. SUBHAJIT MANNA | Contact No | 7044575198 |
| Address | 16 CHATRA CHAKRABORTY LANE | Age | 24 Years,8 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||