Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11581 | Date 16/09/2022 |
| Token No | SM/22-23/16806 16/09/2022 | Serial | 033 Last Visit: 16/09/2022 |
| Patient Name | Mr. AYAN AHAMAD | Contact No | 8709213534 |
| Address | 14 PARSHI LANE SERAMPORE | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||