Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 09780 | Date 26/07/2023 |
| Token No | SM/22-23/11203 26/07/2023 | Serial | 001 |
| Patient Name | Mrs. KANAN ADHIKARI | Contact No | 8981644431 |
| Address | 317 A/1 G.T. ROAD | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||