Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05876 | Date 19/05/2022 |
| Token No | SM/22-23/5198 19/09/2022 | Serial | 017 |
| Patient Name | Mrs. NALLA SIRISHA | Contact No | 6289826395 |
| Address | 77/C/2/1/G J N LAHIRI ROAD | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||