Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11782 | Date 11/07/2024 |
| Token No | SM/24-25/18885 20/09/2024 | Serial | 005 |
| Patient Name | Mrs. ROSHNI RAJBHAR | Contact No | 8777362648 |
| Address | 10 DEY ST | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||