Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03044 | Date 16/09/2019 |
| Token No | SM/22-23/14063 03/01/2024 | Serial | 020 |
| Patient Name | Mr. G MAHESHWAR RAO | Contact No | 9903531379 |
| Address | 102 R B SARANI | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||