Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06263 | Date 30/06/2022 |
| Token No | SM/22-23/3751 05/07/2022 | Serial | 022 |
| Patient Name | Mrs. Y SIRISHA | Contact No | 8013504547 |
| Address | 13A R B SARANI | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||