Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14207 | Date 29/08/2024 |
| Token No | SM/24-25/36615 29/08/2024 | Serial | 025 Last Visit: 29/08/2024 |
| Patient Name | Mr. SOHAM SANYAL | Contact No | 7980243528 |
| Address | 17NO. LAHIRI PARA LANE CHATRA SERAMPORE | Age | 15 Years,7 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||