Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02143 | Date 30/05/2019 |
| Token No | SM/22-23/4741 29/08/2022 | Serial | 012 |
| Patient Name | Mrs. MITALI BARAL | Contact No | 9883670276 |
| Address | 24A PANCHANAN TALA LANE | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||