Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13374 | Date 13/08/2025 |
| Token No | SM/25-26/1653 13/08/2025 | Serial | 008 |
| Patient Name | Mr. BIKASH RAJBHAR | Contact No | 9369803533 |
| Address | RAM SITA LANE | Age | 18 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||