Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10343 | Date 08/09/2023 |
| Token No | SM/24-25/18131 12/08/2024 | Serial | 020 |
| Patient Name | Mrs. DEEPTI GUMMADI | Contact No | 9038194797 |
| Address | 12 pitambar dey lane | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||