Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11298 | Date 18/03/2024 |
| Token No | SM/22-23/15329 18/03/2024 | Serial | 018 |
| Patient Name | Mr. RAKESH ADHIKARI | Contact No | 8420281866 |
| Address | 3 L.M. BHATTACHARYA STREET | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||