Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13810 | Date 05/06/2024 |
| Token No | SM/25-26/3038 28/06/2025 | Serial | 035 Last Visit: 29/11/2025 |
| Patient Name | Mr. SHUBHAM GUIN | Contact No | 8910299198 |
| Address | 637 G T ROAD KALITALA SERAMPORE | Age | 14 Years,4 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||