Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 12175 | Date 30/09/2024 |
| Token No | SM/24-25/19120 30/09/2024 | Serial | 044 |
| Patient Name | Mrs. PADALA PADMA | Contact No | 6291961655 |
| Address | 70/A/2/86 KHATIR BAZAR LANE | Age | 61YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||