Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11555 | Date 22/05/2024 |
| Token No | SM/24-25/16393 22/05/2024 | Serial | 005 |
| Patient Name | Mrs. LAXMI KUNWAR | Contact No | 9875423817 |
| Address | 27A CHOWDHURY PARA | Age | 70 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||