Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15982 | Date 03/09/2025 |
| Token No | SM/25-26/8813 13/12/2025 | Serial | 062 Last Visit: 13/12/2025 |
| Patient Name | Mr. NAIREET DEY | Contact No | 6207263457 |
| Address | RAJA K L GOSWAMI STREET SERAMPORE | Age | 6 Years,4 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||