Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11259 | Date 11/03/2024 |
| Token No | SM/24-25/18771 12/09/2024 | Serial | 008 |
| Patient Name | Mrs. TUMPA ADHIKARI | Contact No | 9635668364 |
| Address | JOLKOL | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||