Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13155 | Date 25/06/2025 |
| Token No | SM/25-26/967 25/06/2025 | Serial | 021 |
| Patient Name | Mrs. CHANDRIMA BATABYAL | Contact No | 9051513037 |
| Address | 46 POTUA PARA LANE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||