Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03582 | Date 09/12/2019 |
| Token No | SM/21-22/1814 06/01/2022 | Serial | 007 |
| Patient Name | Mrs. SUDHAMIYA RAJBHAR | Contact No | 9330888047 |
| Address | TIN BAZAR | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||