Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11781 | Date 11/07/2024 |
| Token No | SM/24-25/17493 11/07/2024 | Serial | 044 |
| Patient Name | Mrs. AMITA ADHIKARI | Contact No | 9903293710 |
| Address | 46 PATUA PARA LANE | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||