Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11469 | Date 02/05/2024 |
| Token No | SM/24-25/17857 01/08/2024 | Serial | 013 |
| Patient Name | Mr. G RAJU RAO | Contact No | 9330693158 |
| Address | 18NO LINE, INDIA JUTE MILL | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||