Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10365 | Date 12/09/2023 |
| Token No | SM/22-23/12418 12/09/2023 | Serial | 023 |
| Patient Name | Mrs. ANITA JAMADAR | Contact No | 8777244373 |
| Address | TEXTILE COLLEGE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||