Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13143 | Date 21/06/2025 |
| Token No | SM/25-26/2757 25/11/2025 | Serial | 010 |
| Patient Name | Mrs. MANKALA SNEHA | Contact No | 6291000637 |
| Address | DR. N.L. BHATTACHARYA STREET | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||