Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12816 | Date 20/03/2025 |
| Token No | SM/24-25/21418 20/03/2025 | Serial | 009 |
| Patient Name | Miss KRITIKA JOT | Contact No | 6289430407 |
| Address | 10DOSTI LANE | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||