Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11066 | Date 28/05/2022 |
| Token No | SM/22-23/12997 28/05/2022 | Serial | 016 Last Visit: 28/05/2022 |
| Patient Name | Mrs. MANI ADHIKARI | Contact No | 8584886022 |
| Address | NASIB PUR MACH PARA | Age | 73 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||