Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07479 | Date 01/11/2022 |
| Token No | SM/22-23/9407 04/05/2023 | Serial | 027 |
| Patient Name | Mr. DIPAK PARIYALI | Contact No | 7003286371 |
| Address | 19/A DOSTI LANE | Age | 16 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||