Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12479 | Date 16/09/2023 |
| Token No | SM/22-23/27639 29/12/2023 | Serial | 012 Last Visit: 10/01/2025 |
| Patient Name | Mr. ADITYANARAYAN DUTTA | Contact No | 9230837022 |
| Address | 19 NO RAJA KL GOSWAMI STREET | Age | 8 Years,11 Months,26 Days Male |
| Token For | Medicine, | Charge | Chargable |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | 127 cm BMI: 14.880030 |
| Diagnosis | |||