Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14706 | Date 24/12/2024 |
| Token No | SM/25-26/6570 25/09/2025 | Serial | 053 Last Visit: 13/11/2025 |
| Patient Name | Master ABHIJIT GOSWAMI | Contact No | 8617019176 |
| Address | 74/A.P GHOSH ROAD | Age | 3 Years,8 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||