Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08140 | Date 23/04/2020 |
| Token No | SM/19-20/22195 13/05/2020 | Serial | 003 Last Visit: 19/07/2025 |
| Patient Name | Mr. GOPAL MODAK | Contact No | 9836053935 |
| Address | 53 A.P. GHOSH ROAD CHATRA | Age | 64 Years,6 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||