Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06586 | Date 03/08/2022 |
| Token No | SM/22-23/4255 03/08/2022 | Serial | 001 |
| Patient Name | Mr. SHYAM LAL RAJBHAR | Contact No | NOT GIVEN |
| Address | TIN BAZAR | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||