Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11451 | Date 26/04/2024 |
| Token No | SM/24-25/15987 26/04/2024 | Serial | 001 |
| Patient Name | Mrs. PARBATI RAJBHAR | Contact No | 7439823031 |
| Address | 17 DOSTI LANE | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||