Neuberg @ Supratech REFERENCE LABORATORIES ILL CUM RECEIP INN Name — : Mr. PRIYANSH PRAKASH MODI Invoice No/ Date : 10800130563 / 16-Aug-2021 14:18 Age : 32 Yrs Gender : Male Branch : Kedar Email : Contact No: : 7574939787 Test Name Expected Report Time Remarks ___ Amount COVID19 Qualitative by Real time PCR- 18-Aug-2021 10:20 AM Please note that report will be available within 400.00 Aug 24 hours; 36 hours in the receipt has been stated for unavoidable situation/technical failure/repeat examination. (Applicable for s Ahmedaiad, Rajkot & Surat branch only) PaymentHistory: Gross Bill Amount 400.00 ReceiptNo Receipt Date Amount Mode Received By R-001-21-22- 16-Aug-2021 14:18 400.00 Cash PATEL.MANS! poet roan oN l2azett Paid Amount 400.00 Balance to Pay 0.00 Amount Paid in Words : Four Hundred Only Print By: Patol Mansi V, Visit out website https:/lims.supratechonline.comi#/laboratory/public to download report. Userld: 10800130563 Password: Q49K300F ‘The test has been carried out on prescribed by doctor or confirmed by the patient. CAP ACCREDITED s Private Limited (ONGC PRIA Neuberg Supratech Reference Laborator Ef (ere ACC cunLAMUar relies