Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02329 | Date 04/12/2018 |
| Token No | SM/19-20/19722 16/03/2020 | Serial | 046 Last Visit: 09/08/2025 |
| Patient Name | Mr. SOMJIT DEY | Contact No | 9804131406 |
| Address | 2 DUTTA PARA LANE SERAMPORE | Age | 12 Years,7 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||