Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15006 | Date 12/02/2025 |
| Token No | SM/24-25/42843 12/02/2025 | Serial | 066 Last Visit: 12/02/2025 |
| Patient Name | Mr. RUPAM MUKHERJEE | Contact No | 7439675700 |
| Address | 1 CHAKRABORTY LANE GOSWAMI PARA SERAMPORE | Age | 12 Years,1 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||