Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08975 | Date 04/05/2023 |
| Token No | SM/24-25/15865 22/04/2024 | Serial | 006 |
| Patient Name | Miss ARCHANA RAJBHAR | Contact No | 8274948850 |
| Address | 27/C TIN BAZAR | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||