Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 01782 | Date 10/03/2019 |
| Token No | SM/22-23/8650 30/03/2023 | Serial | 022 |
| Patient Name | Mr. RUPNARAYAN RAJBHAR | Contact No | 7278280240 |
| Address | 10 DEY STreet | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||