Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16190 | Date 16/10/2025 |
| Token No | SM/25-26/7110 16/10/2025 | Serial | 030 Last Visit: 16/10/2025 |
| Patient Name | Mr. JAGRIT AGARWAL | Contact No | 6290361951 |
| Address | 28/C T C GOSWAMI STREET SERAMPORE | Age | 15 Years,1 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||