Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09575 | Date 03/05/2021 |
| Token No | SM/22-23/21673 17/05/2023 | Serial | 002 Last Visit: 20/06/2024 |
| Patient Name | Mrs. PUJA DOM | Contact No | 6290339198 |
| Address | DAIRY FIRM, HOSPITAL ROAD CANTONMENT HOSPITAL SADAR BAZAR BARRACKPORE | Age | 32 Years,4 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||