Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12544 | Date 17/01/2025 |
| Token No | SM/24-25/20555 17/01/2025 | Serial | 005 |
| Patient Name | Miss SWETA HELA | Contact No | 6291946269 |
| Address | TEXTILE COLLEGE | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||