Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12396 | Date 25/11/2024 |
| Token No | SM/24-25/19891 25/11/2024 | Serial | 037 |
| Patient Name | Miss GUNGUN RAJBHAR | Contact No | NOT GIVEN |
| Address | L B S ROAD | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||