Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12689 | Date 01/11/2023 |
| Token No | SM/25-26/6651 27/09/2025 | Serial | 035 Last Visit: 27/09/2025 |
| Patient Name | Mr. ARYAN KHAN | Contact No | 9830763473 |
| Address | 53 MUSALMAN PARA ROAD SERAMPORE | Age | 7 Years,0 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||