Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05897 | Date 23/07/2019 |
| Token No | SM/22-23/14165 29/06/2022 | Serial | 034 Last Visit: 04/04/2024 |
| Patient Name | Mr. SRIJIT BISWAS | Contact No | 9339737492 |
| Address | 6 J M LAHIRI LANE CHATRA SERAMPORE | Age | 17 Years,2 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||