Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12238 | Date 17/10/2024 |
| Token No | SM/25-26/2592 12/11/2025 | Serial | 019 |
| Patient Name | Mr. CHAITANYA PODIALI | Contact No | 8981929244 |
| Address | 19 DOSTI LANE | Age | 35 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||