Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15717 | Date 19/07/2025 |
| Token No | SM/25-26/3833 19/07/2025 | Serial | 047 Last Visit: 19/07/2025 |
| Patient Name | Mr. SUVOJIT MONDAL | Contact No | 9330977381 |
| Address | 1 CHATRA BARUIPARA LANE SERAMPORE | Age | 16 Years,8 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 105/67 mmHg | Weight | 72.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||