Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01910 | Date 05/11/2018 |
| Token No | SM/18-19/8265 07/02/2019 | Serial | 092 Last Visit: 04/04/2025 |
| Patient Name | Mr. RIJU DUTTA | Contact No | 7439705155 |
| Address | 33, CHATRA DUTTA PARA LANE SERAMPORE | Age | 21 Years,9 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||