Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09942 | Date 11/08/2023 |
| Token No | SM/22-23/11558 11/08/2023 | Serial | 005 |
| Patient Name | Mr. NITAI ADHIKARI | Contact No | 6290716923 |
| Address | 114C THAKURBATI STREET | Age | 70 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||