Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 05867 | Date 18/05/2022 |
| Token No | SM/22-23/3002 18/05/2022 | Serial | 001 |
| Patient Name | Mrs. KONAPALA DIVYA BHARATI | Contact No | 9088023740 |
| Address | 22 B.L.C.MILLS ROAD, MAHESH | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||