Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01189 | Date 18/09/2018 |
| Token No | SM/19-20/24132 15/07/2020 | Serial | 008 Last Visit: 28/05/2025 |
| Patient Name | Mr. AGNI BHATTACHARJEE | Contact No | 9163854131 |
| Address | 9/A CHATRA CHOWDHURI PARA, SERAMPORE | Age | 14 Years,4 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||