Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10399 | Date 14/09/2023 |
| Token No | SM/22-23/12484 14/09/2023 | Serial | 024 |
| Patient Name | Mrs. KALBATIYA HELA | Contact No | NOT GIVEN |
| Address | TEXTILE COLLEGE | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||