Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02917 | Date 27/08/2019 |
| Token No | SM/18-19/5979 27/08/2019 | Serial | 059 |
| Patient Name | Miss NIKKI RAJBHAR | Contact No | 6392016647 |
| Address | 5 NO DOSTI LANE | Age | 22 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||