Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16178 | Date 15/10/2025 |
| Token No | SM/25-26/7050 15/10/2025 | Serial | 048 Last Visit: 15/10/2025 |
| Patient Name | Mr. AYUSH GANGAPUTRA | Contact No | 9088996931 |
| Address | 41 A P GHOSH ROAD SERAMPORE | Age | 10 Years,11 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||