Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12815 | Date 20/03/2025 |
| Token No | SM/24-25/21412 20/03/2025 | Serial | 003 |
| Patient Name | Mr. SUNIL KUMAR GIRI | Contact No | 8252730839 |
| Address | DEY STREET | Age | 53 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||