Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11501 | Date 09/05/2024 |
| Token No | SM/24-25/16559 29/05/2024 | Serial | 026 |
| Patient Name | Mrs. ARUNA CHITRAKAR | Contact No | 8420504237 |
| Address | 8 PATUA PARA LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||