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Receipt No. : I - 20221 Name : Mr. CHANDAN KANDI (ID: 16458) Sex / Age : Male / 19 years
Payment Mode : CASH Referral : Dr. C G DOGNE Date & Time : 21/11/23, 06:34 PM
Payable Amount (in words) : One Thousand Seven Hundred only Total : 1700.00
Cashier's Signature