Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03805 | Date 20/02/2023 |
| Token No | SM/22-23/8569 03/05/2023 | Serial | 013 |
| Patient Name | Mrs. EKMAYA GURUNG | Contact No | 8013509234 |
| Address | A/63/X TARAPURKUR GOVT COLONY 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||