Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00752 | Date 28/08/2018 |
| Token No | SM/22-23/28516 29/01/2024 | Serial | 074 Last Visit: 20/11/2025 |
| Patient Name | Mr. GOUTAM SETH | Contact No | 9883831015 |
| Address | 470/309 GT ROAD CHATRA BOU BAZAR , BAIDYABATI(M) | Age | 64 Years,3 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/78 mmHg | Weight | 56.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||