Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12617 | Date 05/02/2025 |
| Token No | SM/24-25/20836 05/02/2025 | Serial | 008 |
| Patient Name | Miss SNEHA RAO | Contact No | 9875573699 |
| Address | 18/138 INDIA JUTE MILL | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||