Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13892 | Date 22/12/2025 |
| Token No | SM/25-26/3092 22/12/2025 | Serial | 030 |
| Patient Name | Mr. MOHESH HELA | Contact No | 8777244373 |
| Address | TEXTILE COLLEGE | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||