Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00489 | Date 16/08/2018 |
| Token No | SM/25-26/14400 27/08/2026 at 10:27 | Serial | 018 Last Visit: 27/08/2026 |
| Patient Name | Mrs. MAMTA GANGPUTRA | Contact No | 9123021336 |
| Address | 85, A.P GHOSH ROAD | Age | 22 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||