Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13594 | Date 11/10/2025 |
| Token No | SM/25-26/2320 16/10/2025 | Serial | 012 |
| Patient Name | Mrs. RAJKUMARI RAJBHAR | Contact No | 9330888047 |
| Address | TIN BAZAR | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||