Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13113 | Date 12/06/2025 |
| Token No | SM/25-26/807 12/06/2025 | Serial | 032 |
| Patient Name | Mrs. SUNITA RAJBHAR.. | Contact No | 8444904288 |
| Address | 5 DOSTI LANE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||