Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07080 | Date 05/12/2019 |
| Token No | SM/19-20/15406 16/12/2019 | Serial | 070 Last Visit: 06/12/2023 |
| Patient Name | Mr. GOUTAM CHAKRABORTY | Contact No | 9331640807 |
| Address | 51 K.M BHATCHARJEE STREET SERAMPORE | Age | 55 Years,11 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||