SAMANVAY MULTIPSECIALITY HOSPITAL

Address: NEAR SHAPUR OVER BRIDGE AND KOYLI FATAK JUNAGADH VANTHALI HIGHWAY, JUNAGADH, GUJARAT
M: +91-8469922023, 8469922245

IPD Final Bill

IPD No 07035 Bill No `2324/6977

Name Mrs. RACHNA RAVIKANT SHARMA Bill Date 25/01/2024
Address Admission Date 24/01/2024 15:18
10-11,DWARKAPURI SOCIETY,BEHIND SARDARBAUG,JUNAGADH Discharge Date 24/01/2024 20:01
Age/Sex 76Y / Female Patient Type CASH
Cons Dr. ALPESH KIKANI/ DR.GAUTAM MAKADIA Ref Dr. ALPESH KIKANI/ DR.GAUTAM MAKADIA

Service Date Qty Rate (RS) NET AMT (RS)

ROOM CHARGESSEMISPECIAL 1 HOUR TO 4 HOURS
ROOM CHARGE 1,200.00
Dr. ALPESH KIKANI/ DR.GAUTAM MAKADIA 24-01-2024 1 1,200.00 1,200.00

NURSING CHARGE 1 TO 4 HOURS

NURSING CHARGE 400
Dr. ALPESH KIKANI/ DR.GAUTAM MAKADIA 24-01-2024 1 400 400

ONCOLOGY
DOCETAXEL & CYCLOPHOSPAMDE 10,000.00
Dr. ALPESH KIKANI/ DR.GAUTAM MAKADIA 24-01-2024 1 10,000.00 10,000.00

PHARMACY CHARGE
PHARMACY CHARGE 10,158.00
Dr. ALPESH KIKANI/ DR.GAUTAM MAKADIA 24-01-2024 1 10,158.00 10,158.00

Sub Total 21,758.00

Access Charge 0
Net Bill Amount 21,758.00

Deposit / Refund
Date Type Recipt No Pay Mode Amount (RS)
24-01-2024 Deposit UP231 UPI 21,758.00
Total 21,758.00

Created By : NIVYA CHAVDA