Medical Bill Template

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Allexia hospital

Invoice No: 8626

Hospital details: Allexia hospital


Allexia hospital orthopaedic, neurologist, Plot no A48 Sanjay Gandhi memorial road, N.I.T, faridabad, haryana,
ENT 12001
Contact Details: 8383814035
Registration No:
M43010GH195260

Discharge Date:
23 Apr 2023

Patient Information

Patient Name: Patient Issue: Address:


Ajit Kumar sen Collar Bone dislocate House no C 948 sector 49
faridabad haryana 121001
Gaurdian Name: Admit Date:
KRISHNA SEN 20 Apr 2023 Mobile:
8700204966
Insurance Avl: Age:
No 64

Consultant: Room Category:


Dr. Sahu Semi-Private
MBBS

Details Price Amount

Entomidate ||
20mg/10ml ₹899 ₹899

Sod chl ||
0.99%1000ml ₹900000 ₹900000

1 bandagelastic ||
2" LF ₹4500 ₹4500

1Xr shoulder ||
2+VRt ₹2000000000 ₹2000000000

Room charges ||
4 nights ₹1500000 ₹1500000

Pharmacy ||
Medicine ₹900 ₹900

Radiology ||
na ₹800 ₹800
Pay By Tax: 0 %
Cash CGST: 0 % - ₹ 0.00
Amount: ₹ 2002407099 SGST: 0 % - ₹ 0.00
Taxable Amount:₹ 2002407099.00
Total Amount:₹ 2002407099

Remark:
IN CASE OF EMERGENCY CONSULT IMMEDIATELY IF YOU GET Dr. Sahu
PAIN,PAINFUL MOVEMENTS, REDNESS,PUS OR BLEEDING Allexia hospital orthopaedic,
.FOLLOW UP AFTER 5 DAYS . MEET Dr. Sahu , Allexia hospital neurologist, ENT
orthopaedic, neurologist, ENT

* This is computer generated invoice signature not required created at 23 Apr 2023 at 01:23 AM

You might also like