Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12717 | Date 03/03/2025 |
| Token No | SM/24-25/21158 03/03/2025 | Serial | 019 |
| Patient Name | Mr. SANJIV KUMAR GIRI | Contact No | 9163247037 |
| Address | 6 RAM SITA LANE | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||