Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13478 | Date 06/09/2025 |
| Token No | SM/25-26/1919 06/09/2025 | Serial | 007 |
| Patient Name | Miss ANUSHKA ADHIKARI | Contact No | 8100631337 |
| Address | 86 DEY STREET | Age | 6 yrs 8 months Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||