Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10336 | Date 08/09/2023 |
| Token No | SM/22-23/12336 08/09/2023 | Serial | 003 |
| Patient Name | Mr. SANDIP GIRI | Contact No | 6290161239 |
| Address | 17C N L B STREET | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||