Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11259 | Date 11/03/2024 |
| Token No | SM/22-23/15286 14/03/2024 | Serial | 036 |
| Patient Name | Mrs. TUMPA ADHIKARI | Contact No | 9635668364 |
| Address | JOLKOL | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||