Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13173 | Date 31/01/2024 |
| Token No | SM/25-26/6260 18/09/2025 | Serial | 034 Last Visit: 18/09/2025 |
| Patient Name | Master SRIJAN DUTTA | Contact No | 9674666972 |
| Address | 55 NO CHATRA BARUIPARA LANE SERAMPORE | Age | 4 Years,3 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||