Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10113 | Date 23/08/2023 |
| Token No | SM/22-23/11908 23/08/2023 | Serial | 030 |
| Patient Name | Mr. NITIN THAPA | Contact No | 9883060104 |
| Address | 40 LBS ROAD | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||