Great

Place
TO
Work.
Rainbow°
NABH Certified Children's BirthRight
MO-SE13
Hospital
It takes a lot to treat the litte.
BY RAINBOW HOSPITALS
Your Right to a Safe Delivery

Inpatient Bill(Summary)
(Original)

Bill No :ICS5-00108029
PID IP5-00133963

UHID BAH-00581839 Bill Date :08-04-2024 10:32 PM

Patient Name Baby Of.DIVYA SHREE KULKARNI Age /Sex :0 YO M 3D / MALE
Address H NO. 8-4-544/76 Company :SELFPAY
B SANKARLAL NAGAR

Erragadda, Hyderabad, INDIA TPA :SELFPAY

Bed :CRDL-PVT302-1
Ward :NB ZONE B Admission Date & Time : 05-04-2024 10:14 PM

Doctor : Dr. NITASHA BAGGA Discharge Date & Time :08-04-2024 10:32 PM
Procedure

SI.No Service Name Amount

1 BED CHARGES
25,520.00
2 NURSING CHARGES 10,307.00
3 DOCTOR CHARGES 11,830.00
4 OP/IP PROCEDURE CHARGES 5,990.00
CONSULTATION
5,600.0o
OTHER CHARGES
443.00
EQUIPMENT CHARGES 2,420.00
INVESTIGATION CHARGES
18,300.00
PHARMACY
7,520.0o
10 CONSUMABLES
1,831.0O
11 DIET
12
900.00
MEDICAL RECORDS CHARGES
650.00
Total Amount: 91,311.00
Net Amount :
91,311.00
Deposit Amount: 20,000.00
Deposit Used : 20,000.00
Receipt Amount : 71,311.00
Balance : 0.00
Prepared By : Mr MOHAMMAD AKTHARSAPRAZ
Meg
ildren'

Rainbow Children's Medicare Limited

Banjara Hills, Road No: 2, Near Hotel Park Hyatt, Hyderabad - 500034, Telephone: +91 40
email: 44665491, 44665555 Ext: 1090/1091,
GST: 36AABCR4014M1ZE I email: billingbanjara@rainbowh8gfita9i
info®rainbowhospitals. CIN: U851
in 1 tpa.bnj@rainbowhos pitals. in
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