Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08096 | Date 02/01/2023 |
| Token No | SM/25-26/658 04/06/2025 | Serial | 023 |
| Patient Name | Mrs. MINATI ADHIKARI | Contact No | 8420969520 |
| Address | CHOWDHURY PARA | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||