Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06306 | Date 02/09/2019 |
| Token No | SM/19-20/20286 25/03/2020 | Serial | 042 Last Visit: 31/08/2021 |
| Patient Name | Mr. GOUTAM BAG | Contact No | 9163290092 |
| Address | 11A DUTTAS LANE CHATRA , SERAMPORE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||