Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04754 | Date 08/08/2023 |
| Token No | SM/24-25/28648 23/09/2024 | Serial | 055 |
| Patient Name | Mr. VIJAY KUMAR GUPTA | Contact No | 6290163167 |
| Address | 72/A/8 PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||