Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10281 | Date 04/09/2023 |
| Token No | SM/22-23/12225 04/09/2023 | Serial | 009 |
| Patient Name | Miss KHUSHI RAJBHAR | Contact No | 8444904288 |
| Address | 5 DOSTI LANE | Age | 14 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||