Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06306 | Date 02/09/2019 |
| Token No | SM/21-22/3535 27/07/2021 | Serial | 012 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 | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||