GSTIN : 09AAGCM9435L1ZU OP Cash Bill - Bill of Supply Reference No :

Name : Mr. SANTOSH SINGH Age : 49Yr 11Mth 27Days UHID: MILL.0000352340

Father Name : MR.CHANDRA BHAN SINGH

Sex : Male
*MILL.0000352340*
Address : RUDARI RANI KI SARAI AZAMGARH OP Number: MILLOPP1719041

*MILLOPP1719041*
Pan Number:
Bill No : MILL-OCS-1431979
Doctor's Name : Dr. Kamal Kishor Gupta
Date : 28-Dec-23 Time : 13:38:01
ORTHOPAEDICS
Speciality :
*MILL-OCS-1431979*
Bill Amount: `. 700.00 FOR APOLLO HOSPITALS

Amount in words: ` Seven Hundred Only

S.No Service Type/Service Name Department Quantity Ref Tariff Dis(%) Amount (INR)

1 Consultation(999311)
1 OP Consultation - First Visit Medical 1 700.00 0.00 700.00
Sub Total 700.00

Service Amount : 700.00

Total Bill Amount 700.00

Final Payment (Cash:700.00, NonCash:0.00) 700.00

No Tax is Payable on Reverse Charge Basis

Receipt Details: Received with thanks sum of `. 700.00 (CASH)
` Seven Hundred Only From Mr. SANTOSH SINGH

*(QR) Denotes Cancelled Services Authorized Signatory

Denotes Quick Registration
Ms. Jeniyfer Gupta

Cashier
Online Payment access- https://pay.apollohospitals.com