Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 17199 | Date 29/08/2026 |
| Token No | SM/25-26/14505 29/08/2026 at 11:41 | Serial | 044 Last Visit: |
| Patient Name | Mr. RUPAM DAS | Contact No | 8336849291 |
| Address | 12 LAHIRI PARA LANE SERAMPORE | Age | 11 Years,3 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||