Centre

Seal

CUSTOMER
BRANCH
Address
Patient
REGISTRATION PATIENT
NO.NAME NAME NO
INVOICENO. GSTDATE
AMount
Loan
Net|Loan Amount
TotalReceived
Loan Received Amount
Upfront Plan
Invoice Patient
Account
Number Bank
IFSC Name
Branch Code Charges
Net Amount
Indira Subvention Received
Advance
EMI Amount
Disbursement Details:
IVF
Bank

Details:
CHILD
SAVE
GIRL P100923GUROO01686
:1VE:GURUGRAM :06AADCI8430Q124
AHMAD
BHAT :
: :ANFA:13/03/2024
House ::NADEEM
IIHPL/GUR/23-24/1235
TREATMENT NADEEM
no
470,
Maidan AHMAD
CLINIC
INDIRA
2ndhUN IVE (FINANCED
Haryana-122001
GURUGRAM, Floor, TREATMENT
FORIVF
Old garhi,
OF BHAT
Delhi SCO INDIA
BY H
Road, 24, VF HDFC no
Commercial
HOSPITAL 470
Sector-14, BANK
maidan
PVTITD LTD).
Market,
garhi,

Authorized LIMITED
BANK
HDFC 110068, INDIRA
CLINIC
UnIOr
IHPL)
TA IVF
FERTILITY
UDAIPUR
SUKHER,
50200022262285
Consus HDFCO002242
148800.00
113144.00 160000.00
*
11200.00 64980.0042656.00
167000.00
22324.00
DELHI
INDIRA VF
(0BS. NidhsalujaDr.
Reg.
HMCNo. MBBS,
MD Signatorty
HN-7715 &
& oHI S IVF
GYNAE)
846
CIN:
00.CO
indira in CENTRE
With

ww.indiraivl
com Stamp
Doctor
Seal