Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02131 | Date 04/07/2022 |
| Token No | SM/22-23/18854 21/02/2024 | Serial | 004 |
| Patient Name | Mrs. RUBY SHAW | Contact No | 9231222121 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||