Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07674 | Date 28/02/2020 |
| Token No | SM/19-20/19680 16/03/2020 | Serial | 004 Last Visit: 02/09/2025 |
| Patient Name | Master SURJA DAS | Contact No | 8013907419 |
| Address | 30/C CHATRA GHOSH PARA GARGARI GHAT , SERAMPORE | Age | 7 Years,0 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||