Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03582 | Date 09/12/2019 |
| Token No | SM/19-20/8252 06/01/2020 | Serial | 021 |
| Patient Name | Mrs. SUDHAMIYA RAJBHAR | Contact No | 9330888047 |
| Address | TIN BAZAR | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||