Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15001 | Date 12/02/2025 |
| Token No | SM/25-26/5313 27/08/2025 | Serial | 035 Last Visit: 27/08/2025 |
| Patient Name | Mr. RANAJIT BASU | Contact No | 9230218969 |
| Address | 11/C S C CHATTERJEE SARANI SERAMPORE MALLICKPARA | Age | 24 Years,11 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||