Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09229 | Date 29/01/2021 |
| Token No | SM/20-21/29914 29/01/2021 | Serial | 039 Last Visit: 21/04/2025 |
| Patient Name | Master ADHVIK MANDAL | Contact No | 7439830050 |
| Address | 9/J BAROBAGAN LANE, SERAMPORE | Age | 5 Years,3 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||