Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12633 | Date 07/02/2025 |
| Token No | SM/25-26/1873 03/09/2025 | Serial | 008 |
| Patient Name | Master GANESH ADHIKARI | Contact No | 8100631337 |
| Address | 86 DEY STREET | Age | 4 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||