Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13351 | Date 07/08/2025 |
| Token No | SM/25-26/1567 07/08/2025 | Serial | 011 |
| Patient Name | Mr. ABHAY BARAL | Contact No | 7278800138 |
| Address | 4 B BHAGIRATHI LANE | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||