302A/SINGLE IPID. : 000001/22-23 Bed No. : ROOMS LIFE HOSPITAL NON AC SRIKAKULAM,,SRIKAKULAM-000000, Phone:-0000000000,0000000000,Email:- Age/Sex : 73 Yrs./M Bill No : 1 IP Investigations Cash Receipt Mobile : 8331824219, Date : 12/03/2023 Address : CALINGAPATNAM Time : 01:37 PM FATHER: NA,
Ref By: SELF Consultant : S CHANDRASEKHAR
Sl.No Particulars Qty Rate(Rs.) Amount(Rs.)
1 CBC (Complete Blood Count) 1.00 350.00 350.00 2 RBS 1.00 150.00 150.00 3 ELECROLITES 1.00 550.00 550.00 4 BGT 1.00 150.00 150.00 5 HBsAg 1.00 250.00 250.00 6 HIV 1.00 400.00 400.00 7 HCV 1.00 550.00 550.00 Amount in words : Two Thousand Four Hundred Rupees only. Mode Of Payment : Cash Paid Amount : 2400.00 Created By : Mr . vishnu1 For LIFE HOSPITAL