Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11233 | Date 05/03/2024 |
| Token No | SM/25-26/753 11/06/2025 | Serial | 016 |
| Patient Name | Mrs. TANDRA ADHIKARI | Contact No | 9903293710 |
| Address | 46 POTUA PARA LANE | Age | 37 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||