Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11546 | Date 08/09/2022 |
| Token No | SM/22-23/16496 08/09/2022 | Serial | 038 Last Visit: 12/03/2025 |
| Patient Name | Master STEPHEN BAG | Contact No | 8229912181 |
| Address | 7 CHOWDHURY PARA LANE , MOITRI PORISAD SERAMPORE | Age | 8 Years,2 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||