Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08741 | Date 10/04/2023 |
| Token No | SM/22-23/10932 17/07/2023 | Serial | 015 |
| Patient Name | Mrs. TUMPA ADHIKARI | Contact No | 6291891040 |
| Address | 114/C THAKURBATI STREET | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||