Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11831 | Date 22/07/2024 |
| Token No | SM/24-25/17669 22/07/2024 | Serial | 011 |
| Patient Name | Miss DURGA RAO | Contact No | 9330753172 |
| Address | 62A RAYLAND ROAD | Age | 7 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||