Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08924 | Date 28/04/2023 |
| Token No | SM/22-23/9270 28/04/2023 | Serial | 032 |
| Patient Name | Mr. DIPAK PRADHAN | Contact No | 9123745150 |
| Address | 5 DOSTI LANE | Age | 13 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||