Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05112 | Date 15/05/2019 |
| Token No | SM/19-20/2790 15/05/2019 | Serial | 030 Last Visit: 03/11/2025 |
| Patient Name | Mr. IMRAN HOSSAIN MALIK | Contact No | 7003874729 |
| Address | 34 CHATRA MUSALMAN PARA BYE LANE , SERAMPORE | Age | 15 Years,3 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||