Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15626 | Date 28/06/2025 |
| Token No | SM/25-26/3016 28/06/2025 | Serial | 013 Last Visit: 28/06/2025 |
| Patient Name | Mr. SANTANU HALDER | Contact No | 8097946094 |
| Address | 134 CHATRA BARUI PARA LANE SHIBTALA , SERAMPORE | Age | 17 Years,2 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 101 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||