Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09571 | Date 07/07/2023 |
| Token No | SM/24-25/16119 09/05/2024 | Serial | 018 |
| Patient Name | Mrs. ANITA HELA | Contact No | 8777244373 |
| Address | TEXTILE COLLEGE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||