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IP No IP-1370 UHID MD0000005734

Patient Name Mr PANKAJ GANDHI Age/Gender 42 Y/Male


DOA 08-08-2020 10:13:55 PM Payer Type cash
Payer Name CASH Ward/Bed No ICU/ICU-006
Billing Category General

Advance Receipt (Amount in Rs.)


Receipt No REC-IP-000114
Receipt Date & Time 21-08-2020 11:01:30 AM
Total Amount 20000.0
Total Amount In Words Twenty Thousand Only
Mode Transaction Number Paid Amount
cash NA 20000.0

Printed By Print Date & Time Created By


Satish 21-08-2020 11:08:42 AM Sudhakar M

(*********** Electronically Generated Report ***********)

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