Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08507 | Date 03/03/2023 |
| Token No | SM/22-23/8182 03/03/2023 | Serial | 015 |
| Patient Name | Mrs. PUNAM RAJBHAR | Contact No | 8902327409 |
| Address | 79 DEY STREET | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||