Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11543 | Date 08/09/2022 |
| Token No | SM/22-23/16488 08/09/2022 | Serial | 030 Last Visit: 08/09/2022 |
| Patient Name | Mr. ADIL FARHAN | Contact No | 6289791897 |
| Address | 6 PARSHI LANE SERAMPORE (M) | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||