Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06255 | Date 29/06/2022 |
| Token No | SM/22-23/3691 29/06/2022 | Serial | 019 |
| Patient Name | Mrs. PADALA DIVYANI | Contact No | 8240342016 |
| Address | 13/A R.B.SARANI | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||