Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09159 | Date 23/05/2023 |
| Token No | SM/22-23/9770 23/05/2023 | Serial | 009 |
| Patient Name | Mrs. KAMALA SRIMANI | Contact No | NOT GIVEN |
| Address | 101 NEHERU NAGAR COLONY | Age | 72 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||