Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15760 | Date 25/07/2025 |
| Token No | SM/25-26/6568 25/09/2025 | Serial | 051 Last Visit: 28/10/2025 |
| Patient Name | Mr. ABHIRUP GOSWAMI | Contact No | 8617019176 |
| Address | 74 A P GHOSH ROAD SERAMPORE | Age | 15 Years,0 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||