Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12615 | Date 12/10/2023 |
| Token No | SM/24-25/38214 15/10/2024 | Serial | 013 Last Visit: 18/09/2025 |
| Patient Name | Mr. ETHAN YAMAGUTI RAY | Contact No | 9831477852 |
| Address | 5 C DR. G C GOSWAMI STREET SERAMPORE | Age | 7 Years,11 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||