Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02543 | Date 24/08/2022 |
| Token No | SM/22-23/3473 15/10/2022 | Serial | 007 |
| Patient Name | Mr. BHUTNATH GOPE | Contact No | 7890733398 |
| Address | 168 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||