Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15238 | Date 25/04/2025 |
| Token No | SM/25-26/753 25/04/2025 | Serial | 016 Last Visit: 25/04/2025 |
| Patient Name | Mr. SWAGATAM SOM | Contact No | 9836744145 |
| Address | 52 AP GHOSH ROAD SERAMPORE | Age | 8 Years,11 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||