Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11233 | Date 05/03/2024 |
| Token No | SM/24-25/20330 21/12/2024 | Serial | 019 |
| Patient Name | Mrs. TANDRA ADHIKARI | Contact No | 9903293710 |
| Address | 46 POTUA PARA LANE | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||