Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11728 | Date 01/12/2022 |
| Token No | SM/22-23/26928 09/12/2023 | Serial | 042 Last Visit: 06/11/2025 |
| Patient Name | Mr. GAUTAM KUMAR DUTTA | Contact No | 7259328423 |
| Address | 1/A/B SATYAM APPARTMENT , 13 DR P.N MUKHERJEE STREET SERAMPORE | Age | 63 Years,10 Months,4 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | 165.6 cm BMI: 25.890336 |
| Diagnosis | |||