Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08718 | Date 06/04/2023 |
| Token No | SM/22-23/14345 18/01/2024 | Serial | 017 |
| Patient Name | Mr. TUFANI RAJBHAR | Contact No | 7890080690 |
| Address | TIN BAZAR | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||