Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04436 | Date 03/06/2021 |
| Token No | SM/21-22/341 03/06/2021 | Serial | 001 |
| Patient Name | Mrs. SANJU RAJBHAR | Contact No | 7439337537 |
| Address | 27 BAZAR BYE LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||