Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 17191 | Date 27/08/2026 |
| Token No | SM/25-26/14408 27/08/2026 at 10:36 | Serial | 026 Last Visit: 27/08/2026 |
| Patient Name | Master ROHAN MALIK | Contact No | 9051902762 |
| Address | 39 A P GHOSH ROAD SERAMPORE | Age | 6 Years,1 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||