Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12274 | Date 28/10/2024 |
| Token No | SM/24-25/19477 28/10/2024 | Serial | 012 |
| Patient Name | Mr. BHIM RAJBHAR | Contact No | 9123750538 |
| Address | 14B DEY STREET | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||