Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03340 | Date 04/02/2019 |
| Token No | SM/18-19/10901 20/03/2019 | Serial | 006 Last Visit: 29/01/2025 |
| Patient Name | Mr. RISHAAN DUTTA | Contact No | 9804417931 |
| Address | 84/A CHATRA BARUI PARA LANE SERAMPORE | Age | 11 Years,2 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||