Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08286 | Date 07/02/2023 |
| Token No | SM/22-23/10790 10/07/2023 | Serial | 042 |
| Patient Name | Mrs. PUNAM RAJBHAR | Contact No | 8961118884 |
| Address | 82 dey street | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||