Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07437 | Date 28/01/2020 |
| Token No | SM/25-26/5736 05/09/2025 | Serial | 026 Last Visit: 05/09/2025 |
| Patient Name | Mr. BISWANATH MALIK | Contact No | 9681065394 |
| Address | 59B A P GHOSH ROAD CHATRA SERAMPORE | Age | 12 Years,4 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||