Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 02959 | Date 01/09/2019 |
| Token No | SM/18-19/6118 01/09/2019 | Serial | 010 |
| Patient Name | Mr. G RAJU RAO | Contact No | 9903531379 |
| Address | 102 R B SARANI | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||