Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00752 | Date 28/08/2018 |
| Token No | SM/25-26/1208 09/05/2025 | Serial | 046 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 | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | 163.4 cm BMI: 25.468585 |
| Diagnosis | |||