Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08853 | Date 25/04/2023 |
| Token No | SM/22-23/9194 26/04/2023 | Serial | 024 |
| Patient Name | Mrs. SANDHYA RAJBHAR | Contact No | 9883570680 |
| Address | tinbazar | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||