INVOICE NO: …………..

TAX INVOICE DATE:……………………

SAMA HEALTH CARE

(A Multispecialty Clinic)
ADDRESS: W-06, TARANAGAR, CHURU

PATIENT NAME: -
Address:

Particulars (Descriptions & Specifications) Qty Chgs Amount

Medical Consultation /Treatment

Ayurvedic-
-
Homothety-

Allopathy. -

Total
Grand
Total

For YOUR COMPANY NAME

Authorized Signature