Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12666 | Date 14/02/2025 |
| Token No | SM/24-25/20961 14/02/2025 | Serial | 002 |
| Patient Name | Miss LISA PARASAD | Contact No | 8622987622 |
| Address | 17 A B GARDEN LANE | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||