Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15978 | Date 02/09/2025 |
| Token No | SM/25-26/5602 02/09/2025 | Serial | 021 Last Visit: 09/09/2025 |
| Patient Name | Mr. MD IRFAN ANSARI | Contact No | 6291988261 |
| Address | 17 RABINDRA BHAWAN ROAD SERAMPORE | Age | 17 Years,11 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||