Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10114 | Date 23/08/2023 |
| Token No | SM/22-23/11956 24/08/2023 | Serial | 023 |
| Patient Name | Master ANSH THAPA | Contact No | 9883060104 |
| Address | 40LBS ROAD | Age | 3 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||