Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15905 | Date 18/08/2025 |
| Token No | SM/25-26/4944 18/08/2025 | Serial | 001 Last Visit: 18/08/2025 |
| Patient Name | Mr. AGNIVO MITRA | Contact No | 9674145067 |
| Address | MALLICKPARA ,SERAMPORE | Age | 15 Years,11 Months,19 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 105/62 mmHg | Weight | 41.1 KG |
| Pulse Rate | / min | Height | 162 cm BMI: 15.660722 |
| Diagnosis | |||