Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12231 | Date 14/10/2024 |
| Token No | SM/24-25/19288 14/10/2024 | Serial | 001 |
| Patient Name | Mrs. BARSHA ADHIKARI | Contact No | 861758885 |
| Address | 1/9 RAILAND CIRCULAR ROAD | Age | 25 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||