Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08660 | Date 27/03/2023 |
| Token No | SM/25-26/442 14/05/2025 | Serial | 003 |
| Patient Name | Master KIRAN GUMMADI | Contact No | 9038194797 |
| Address | 12 PITAMBAR DEY LANE | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||