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Blocking Slip for Hospital

Scheme Name Swasthya Sathi ID 0213226586

Invoice No 227549 Registration No 226586

URN 19071812218933420 Patient ID 2

Hospital Code 191800442 Patient Name MAHABBAT KHAN

Hospital Name ST.JOSEPS HOSPITAL

System Date 21/09/2023 10:49:13 Admission Date 14/09/2023

Registration Date 14/09/2023

Package Code Treatment Name Package Name Description Amount

SS13000001 ORTHOPAEDICS Arthroscopic reconstruction /


Oth-Arthroscopic 52000
repair -knee /- shoulder
reconstruction / repair -kne
e /- shoulder

IM00000000 Implant Implant


Implant ID=SS00000OI110, 1500
Implant=BONE PLATES (S
CREW),Unit Type=SCREW
,Quantity=15,Cost=1500;

For any assistance please call toll free number 18003455384 or contact the District Key Manager of your district.
Package Code Treatment Name Package Name Description Amount

DR A LATIF
55000O

Total Amount : 53500

Authenticated By

Admin

Super User

For any assistance please call toll free number 18003455384 or contact the District Key Manager of your district.

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