Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07145 | Date 13/12/2019 |
| Token No | SM/19-20/15230 13/12/2019 | Serial | 066 Last Visit: 17/02/2024 |
| Patient Name | Mr. SUDIPTA GOSWAMI | Contact No | 9875503345 |
| Address | 31 THAKUR DAS BABU LANE SERAMPORE | Age | 32 Years,4 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||