Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11709 | Date 26/06/2024 |
| Token No | SM/24-25/17165 26/06/2024 | Serial | 019 |
| Patient Name | Mrs. GAYATHRI GUMMADI | Contact No | 8420764060 |
| Address | 12 NO PITAMBER DEY LANE | Age | 24 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||