Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00194 | Date 07/08/2018 |
| Token No | SM/19-20/6784 18/07/2019 | Serial | 059 Last Visit: 17/05/2025 |
| Patient Name | Mr. AYUSH BANERJEE | Contact No | 9051521982 |
| Address | 13A/1 DUTTAS LANE, SERAMPORE | Age | 13 Years,4 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||