Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08854 | Date 25/04/2023 |
| Token No | SM/25-26/2740 24/11/2025 | Serial | 027 |
| Patient Name | Master ABHAY RAJBHAR | Contact No | 9883570680 |
| Address | TIN BAZAR | Age | 10 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||