Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15123 | Date 12/03/2025 |
| Token No | SM/24-25/43884 12/03/2025 | Serial | 067 Last Visit: 13/03/2025 |
| Patient Name | Mr. SUBHAM ROY | Contact No | 8013616530 |
| Address | 66 BHATTACHARYYA GARDEN LANE SERAMPORE MALLICKPARA | Age | 14 Years,11 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.3 KG |
| Pulse Rate | / min | Height | 164 cm BMI: 17.958061 |
| Diagnosis | |||