Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 13624 | Date 15/10/2025 |
| Token No | SM/25-26/2306 15/10/2025 | Serial | 017 |
| Patient Name | Mr. T YAMANATARINAYYA | Contact No | 9331586587 |
| Address | MAHESH | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||