Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15894 | Date 13/08/2025 |
| Token No | SM/25-26/4862 13/08/2025 | Serial | 053 Last Visit: 26/09/2025 |
| Patient Name | Master BAIDURYA MUKHERJEE | Contact No | 6289842672 |
| Address | 3/L/1 BAHIR SERAMPORE ROAD | Age | 3 Years,9 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||