Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09419 | Date 19/06/2023 |
| Token No | SM/22-23/10350 19/06/2023 | Serial | 037 |
| Patient Name | Mrs. SUMAN RAJBHAR.. | Contact No | 6291160029 |
| Address | 39 LBS ROAD | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||