Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00099 | Date 03/08/2018 |
| Token No | SM/25-26/2647 17/06/2025 | Serial | 004 Last Visit: 17/06/2025 |
| Patient Name | Master SHIVAM SHAW | Contact No | 7044575816 |
| Address | 10, M.G ROAD SERAMPORE | Age | 10 Years,0 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||