Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10232 | Date 26/10/2021 |
| Token No | SM/21-22/6679 09/11/2021 | Serial | 005 Last Visit: 30/01/2023 |
| Patient Name | Mr. GAUTAM BAGCHI | Contact No | 8599924267 |
| Address | 29/H,LAHIRI PARA LANE CHATRA SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||