Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12415 | Date 02/12/2024 |
| Token No | SM/25-26/461 15/05/2025 | Serial | 012 |
| Patient Name | Mrs. LAKKHI RAJBHAR | Contact No | 9038411630 |
| Address | 10 DEY STREET | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||