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PAN NO:AAKCM6077A / TAN NO:CHEM17453C / CIN NO:U74999TN2016PTC112873
Patient Bill
Patient ID : 190900139 Address : 69,1 ST AVE , Admit Date : 24/09/2020 11:30AM
ADAYAR,CHENNAI , 600020
Patient Name : Mr.SUNDARESAN Dis.Date :
TAMIL NADU,INDIA
Age/Sex : 75/Male Ward Type : ICU
SERVICES
24/09/2020 AMBULANCE CHARGE 6500.00
04/10/2020 AMBULANCE CHARGE 2500.00
TREATMENT CHARGES
24/09/2020 CT CHEST 7500.00
25/09/2020 OXYGEN CHARGES 2500.00
26/09/2020 OXYGEN CHARGES 2500.00
27/09/2020 OXYGEN CHARGES 2500.00
28/09/2020 OXYGEN CHARGES 2500.00
29/09/2020 OXYGEN CHARGES 2500.00
Patient ID : 190900139 Patient Name : Mr.SUNDARESAN Admit Date : 24/09/2020
LAB
24/09/2020 PRO BNP 4000.00
24/09/2020 I L6 4000.00
24/09/2020 D - DIMER 1750.00
24/09/2020 LDH - SERUM 450.00
24/09/2020 COMPLETE BLOOD COUNT ( CBC ) 500.00
24/09/2020 RENAL FUNCTION TEST ( RFT ) 400.00
24/09/2020 LIVER FUNCTION TEST ( LFT ) 750.00
24/09/2020 PROTHROMBIN TIME ( PT ) 350.00
24/09/2020 HBA1C 500.00
24/09/2020 ACTIVATED PARTIAL THROMBOPLASTIN ( APTT ) 350.00
24/09/2020 CRP (C.REACTIVE PROTEIN) 350.00
24/09/2020 QBC MP 200.00
24/09/2020 DENGUE ANTIBODY 900.00
24/09/2020 SCRUB TYPHUS IGM 1500.00
24/09/2020 WIDAL 200.00
Day Total 16200.00
25/09/2020 COMPLETE BLOOD COUNT ( CBC ) 500.00
25/09/2020 ELECTROLYTES 450.00
25/09/2020 FREE THYROID PROFILE 850.00
Day Total 1800.00
26/09/2020 PROTHROMBIN TIME ( PT ) 350.00
26/09/2020 ACTIVATED PARTIAL THROMBOPLASTIN ( APTT ) 350.00
26/09/2020 COMPLETE BLOOD COUNT ( CBC ) 500.00
26/09/2020 ELECTROLYTES 450.00
26/09/2020 URINE CULTURE 400.00
26/09/2020 BLOOD CULTURE / SENSITIVITY 900.00
Day Total 2950.00
27/09/2020 AMMONIA 800.00
27/09/2020 COMPLETE BLOOD COUNT ( CBC ) 500.00
27/09/2020 LIVER FUNCTION TEST ( LFT ) 750.00
27/09/2020 ELECTROLYTES 450.00
27/09/2020 RENAL FUNCTION TEST ( RFT ) 400.00
Day Total 2900.00
28/09/2020 RENAL FUNCTION TEST ( RFT ) 400.00
28/09/2020 COMPLETE BLOOD COUNT ( CBC ) 500.00
Day Total 900.00
29/09/2020 COMPLETE BLOOD COUNT ( CBC ) 500.00
29/09/2020 LIVER FUNCTION TEST ( LFT ) 750.00
Day Total 1250.00
30/09/2020 COMPLETE BLOOD COUNT ( CBC ) 500.00
Patient ID : 190900139 Patient Name : Mr.SUNDARESAN Admit Date : 24/09/2020
XRAY
24/09/2020 X RAY CHEST AP VIEW 400.00
Day Total 400.00
ULTRASOUND
Patient ID : 190900139 Patient Name : Mr.SUNDARESAN Admit Date : 24/09/2020
IP CONSULTATION
24/09/2020 Dr. CONSULTANT GENERAL PHYSICIAN 5000.00
25/09/2020 Dr. CONSULTANT GENERAL PHYSICIAN 10000.00
26/09/2020 Dr. CONSULTANT GENERAL PHYSICIAN 10000.00
27/09/2020 Dr. CONSULTANT GENERAL PHYSICIAN 10000.00
28/09/2020 Dr. CONSULTANT GENERAL PHYSICIAN 10000.00
29/09/2020 Dr. CONSULTANT GENERAL PHYSICIAN 10000.00
30/09/2020 Dr. CONSULTANT GENERAL PHYSICIAN 10000.00
01/10/2020 Dr. CONSULTANT GENERAL PHYSICIAN 10000.00
02/10/2020 Dr. CONSULTANT GENERAL PHYSICIAN 5000.00
02/10/2020 Dr. PRADEEP NAIR CARDIOLOGIST 2500.00
03/10/2020 Dr. CONSULTANT GENERAL PHYSICIAN 10000.00
04/10/2020 Dr. CONSULTANT GENERAL PHYSICIAN 10000.00
PHARMACY
24/09/2020 PHARMACY CHARGES 4759.00
25/09/2020 PHARMACY CHARGES 20138.00
26/09/2020 PHARMACY CHARGES 17243.00
27/09/2020 PHARMACY CHARGES 8825.00
28/09/2020 PHARMACY CHARGES 16591.00
29/09/2020 PHARMACY CHARGES 7502.00
30/09/2020 PHARMACY CHARGES 8126.00
01/10/2020 PHARMACY CHARGES 4442.00
02/10/2020 PHARMACY CHARGES 5060.00
03/10/2020 PHARMACY CHARGES 4699.00
04/10/2020 PHARMACY CHARGES 12411.00
Total : 316376.20
Discount : 0.00
Total : 316376.00
Amount to be Received : 316376.00
Bill Checked by :
Authorized Signatory