Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09567 | Date 07/07/2023 |
| Token No | SM/25-26/3087 22/12/2025 | Serial | 025 |
| Patient Name | Mr. RAHUL HELA | Contact No | 8777244373 |
| Address | textile college | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||