Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05053 | Date 04/09/2023 |
| Token No | SM/25-26/7020 28/08/2025 | Serial | 029 |
| Patient Name | Mr. JISHU MAJHI | Contact No | 9239866315 |
| Address | 195 NEW MAHESH SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||