Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11709 | Date 26/06/2024 |
| Token No | SM/24-25/17244 01/07/2024 | Serial | 004 |
| Patient Name | Mrs. GAYATHRI GUMMADI | Contact No | 8420764060 |
| Address | 12 NO PITAMBER DEY LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||