Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07500 | Date 03/11/2022 |
| Token No | SM/22-23/5990 03/11/2022 | Serial | 018 |
| Patient Name | Mr. CHINU CHITRAKAR | Contact No | 8420158415 |
| Address | 6/C POTUA PARA LANE | Age | 74 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||