Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07759 | Date 22/11/2022 |
| Token No | SM/24-25/16965 19/06/2024 | Serial | 019 |
| Patient Name | Mrs. KALAWATI JAMADAR | Contact No | NOT GIVEN |
| Address | TEXTILE COLLEGE | Age | 60YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||