Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03590 | Date 09/01/2023 |
| Token No | SM/22-23/6027 09/01/2023 | Serial | 026 |
| Patient Name | Mr. JISU MAJHI | Contact No | 9051847840 |
| Address | 195 NEW MAHESH SERAMPORE 712203 | Age | 11 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||