RECEIPT

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RECEIPT

Patients Name: Aisha Mohammed Saquib D/A : 02/06/2016


Address: 630, MHB Colony, Malegaon D/D : 06/06/2016
Surgeon: Dr. Mrs. Fatima Shamshudduha (MBBS, DGO-Gynaecologist)

Details Amount
Pre & Post Op. Medicine 5000.00
Pathological (Lab) Charges 1000.00
Emergency Medicine 3000.00
OT Charges 5000.00
Anesthesian’s Fees 5500.00
Surgeon’s Charges 12500.00
Pediatrician Fees 3500.00
PPM Management 4000.00
Room and Bed (5 Days) 9000.00
Total Hospital Bill 48500.00
- Advance 15000.00
- Balance 33500.00
Total Amount Paid 48500.00

For Arafat Hospital

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