Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12820 | Date 07/12/2023 |
| Token No | SM/22-23/26855 07/12/2023 | Serial | 029 Last Visit: 14/05/2025 |
| Patient Name | Mr. GOUTAM SET | Contact No | |
| Address | SERAMPORE | Age | 51 Years,5 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||