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  • Bill Cum Receipt: Payment Mode Amount Transaction Id Date & Time

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    Priyabrata Mohanty
    55 views1 page
    This document is a bill and receipt for a COVID-19 test. It provides details of the patient such as name, age, gender, test performed, report date, amount paid, payment details, and notes about potential delivery delays and payment requirements. The test was performed at the National Reference Lab located in Mumbai and the bill is from the corporate office located in another Mumbai address.

    Original Description:

    Corona report

    Original Title

    RTPCR REPORT

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    This document is a bill and receipt for a COVID-19 test. It provides details of the patient such as name, age, gender, test performed, report date, amount paid, payment details, and notes about potential delivery delays and payment requirements. The test was performed at the National Reference Lab located in Mumbai and the bill is from the corporate office located in another Mumbai address.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    55 views1 page

    Bill Cum Receipt: Payment Mode Amount Transaction Id Date & Time

    Uploaded by

    Priyabrata Mohanty
    This document is a bill and receipt for a COVID-19 test. It provides details of the patient such as name, age, gender, test performed, report date, amount paid, payment details, and notes about potential delivery delays and payment requirements. The test was performed at the National Reference Lab located in Mumbai and the bill is from the corporate office located in another Mumbai address.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Corporate Office: 250-D, Udyog Bhavan, Hind Cycle Marg, Behind Glaxo, Worli, Mumbai - 400 030

    National Reference Lab: 4th Floor, Commercial Building-1A, Kohinoor Mall, Vidyavihar West, Mumbai –
    400070

    Bill cum receipt


    MR. PRIYABRATA
    Name : Bill Date : 26/12/2020 01:13 PM
    MOHANTY
    Patient No : P112000591369 Bill No : 105232301
    Visit No : 11207990002986 Contact No : 7718841951
    Age/Gender : 29 Year(s) / M Email : pmohanty37@gmail.com
    Ref Doctor : Mode of Delivery : Email, Sms
    Client : Kamothe Sec 36 CC MHL
    Tests Report Date Amount
    SARS- CoV-2 (COVID 19) Detection by Real Time PCR* 29/12/2020 07:00 PM 850.00
    Gross Total : 850.00
    Tax : 0.00
    Discount : 0.00
    Payment Mode Amount Transaction Id Date & Time
    CASH - INR - 850.00 26/12/2020 01:13 PM
    Grand Total : 850.00 INR
    Received Amount : 850.00 INR
    Due Amount : 0.00 INR
    Amount Received in
    : (INR) EIGHT HUNDRED AND FIFTY
    Words BILL
    BHARTI
    Health service by clinical ED :
    Category of Service : JADHAV
    establishment. BY
    Bill Location : Kamothe psc

    ● Dear Customer, due to the prevailing situation you may experience some delay in report
    delivery. We appreciate your cooperation and patience.
    ● Kindly note, you will receive an SMS as soon as the report is ready and it will be delivered on
    your registered e mail address.
    ● The availability of test report is subject to realization of 100% payment

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