Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11352 | Date 28/07/2022 |
| Token No | SM/22-23/15112 28/07/2022 | Serial | 010 Last Visit: 08/11/2025 |
| Patient Name | Mr. ROHIT DAS | Contact No | 8902289446 |
| Address | 84 NABIN CHAKRABORTY LANE, SERAMPORE | Age | 16 Years,10 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||