Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08688 | Date 02/09/2020 |
| Token No | SM/21-22/7437 03/12/2021 | Serial | 009 Last Visit: 26/11/2025 |
| Patient Name | Mr. GOUTAM DAS | Contact No | 9883587119 |
| Address | CHOTO BELUR CHECK POST MAISOPARA , SERAMPORE | Age | 55 Years,10 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||