Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09418 | Date 01/04/2021 |
| Token No | SM/22-23/29010 09/02/2024 | Serial | 048 Last Visit: 04/11/2024 |
| Patient Name | Mr. GOUTAM SOM | Contact No | 9433104407 |
| Address | 19, DHARMATALA LANE,SERAMPORE | Age | 66 Years,10 Months,3 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | 161.2 cm BMI: 18.087052 |
| Diagnosis | |||