Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02580 | Date 18/12/2018 |
| Token No | SM/19-20/18857 28/02/2020 | Serial | 043 Last Visit: 21/08/2024 |
| Patient Name | Mr. SAYAN BENERJEE | Contact No | 9330806037 |
| Address | 13/A/1 DUTTAS LANE SERAMPORE | Age | 16 Years,7 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||