Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15828 | Date 02/08/2025 |
| Token No | SM/25-26/4444 02/08/2025 | Serial | 037 Last Visit: 02/08/2025 |
| Patient Name | Mr. ABHIJIT DAS | Contact No | 7044761249 |
| Address | 20/D BARA BAGAN LANE SERAMPORE | Age | 15 Years,10 Months,30 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||