Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12529 | Date 15/01/2025 |
| Token No | SM/24-25/20511 15/01/2025 | Serial | 007 |
| Patient Name | Mr. JOYRAM PRASAD | Contact No | 9123971541 |
| Address | BOTTALA | Age | 42 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||