Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14916 | Date 29/01/2025 |
| Token No | SM/24-25/42238 29/01/2025 | Serial | 036 Last Visit: 17/05/2025 |
| Patient Name | Master ABHAS BANERJEE | Contact No | 8697748700 |
| Address | 12 B CHATRA DUTTAS LANE SERAMPORE | Age | 14 Years,9 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||