Regd.

Office Block E, Sector 18, Rohini, New Delhi-110085

Customer Care 91-11-39885050
E-Mail Customer.Care@lalpathlabs.com
Registration Location L71 DR. LAL PATHLABS AZAMGARH LAB Shop No. 120 & 121,Civil Lines; Opposite Civil Court Near Bus Stand; Azamgarh, UP-
276001 CONTACT PERSON: Mr. BRAJESH YADAV C.NO: 8858073946, 7607534419 , AZAMGARH, AZAMGARH276001 UTP
,IND
Phone 7838399647
Web www.lalpathlabs.com

284458813
Bill of Supply/Cash Receipt
Please bring this receipt for report collection

Invoice No : 084236651_072 GST No : Not Applicable

Patient Name : MONIKA GUPTA Lab Code / CC Code : L71
Lab ID : 284458813 Date & Time : 18/07/2020 12:24:31 PM
Patient ID : PID098685845 Mode of Payment : Cash
Age & Sex : 33 Years/Female SAC Code : 999316
Contact Number : 9893786186 CIN No : L74899DL1995PLC065388

Patient Employee Code : NIL Reference Doctor : DR. VANDANA

Card No : NIL Corporate Code : C004269195

S.No Test Code Test Name Price

1 S008 RPR, SERUM 80

2 S203 HIV RAPID SCREENING TEST 150

3 H001 HEMOGLOBIN; Hb 40

4 R052 TSH (THYROID STIMULATING HORMONE) 180

5 H206 BLOOD GROUP ABO & RH FACTOR 80

6 B001 GLUCOSE, FASTING (F) 50

7 S204 HEPATITIS C VIRUS (HCV) RAPID SCREENING TEST 150

8 S205 HEPATITIS B SURFACE ANTIGEN (HBsAg), RAPID SCREENING TEST 150

9 U001 URINE EXAMINATION, ROUTINE; URINE, R/E 70

Total: 950

Misc Charges: 0

Paid Amount: 950

Amount Paid in Words : Nine Hundred and Fifty Only Balance: 0

This is a computer generated receipt and does not require signature/stamp
*Final Report Delivery Date:18/07/2020. *Report Collection Time: 6:00 AM to 7:30 PM
*Dr. Lal PathLabs Ltd. is exempt from GST being a health care service provider.

Note: * You will receive a SMS on your Contact Number as soon as your Report is ready.
A new Lab ID will be issued for any sample submitted after above registration date

Sunday Open : Sample Collection Timing : 7:30 AM to 1:30 PM Report Timing : Next Day
Pathology Lab reports can be downloaded from our website www.lalpathlabs.com or Mobile App (Android/iOS)

You can now get the Cumulative Report (One Report for all your Values) by downloading the App and creating an account with the same mobile number given at the time of
registration. All your previous reports will also be available on the same dashboard. Download the App now from Play Store or App Store

By accepting this invoice / transacting with the Company, I agree/confirm having understood the Terms and Conditions mentioned in Dr. Lal PathLabs Privacy Policy
and Terms of Use (also available on the website).

You may experience delay in your report delivery time on account of COVID-19/Coronavirus situation.
Regret inconvenience and appreciate your understanding.