Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05528 | Date 14/03/2022 |
| Token No | SM/21-22/2399 14/03/2022 | Serial | 001 |
| Patient Name | Miss G RAMYA | Contact No | 9330693158 |
| Address | 102 R B SARANI | Age | 14 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||