TAX INVOICE

TRN No: 100255946400003

Patient Name : Miss. Abirami Srinivasan Srinivasan MPI Number : 1005096803

Encounter No : ANMC/23-24/ENC-75237 Visit Date : 19-03-2024
Receipt No : ANMC/23-24/ORD/RC-66642 Receipt Date : 21-03-2024
Doctor/Dept : Dr.Bharathi Veeraswamy Specialization : OBSTETRICS & GYNECOLOGY

MPI # :

Description Qty

CBC - Complete Blood Count 1

GONADOTROPIN FOLLICLE STIMULATING HORMONE 1

GONADOTROPIN LUTEINIZING HORMONE 1

PROLACTIN 1

Thyroid Stimulating Hormone 1

Deductible 0.00
Copay 0.00
Adm Charge 0.00
Selfpay 0.00
Tax Amount 0.00
Patient Payable 0.00
Payer Payable 605.34
Current Paid Amount 0.00
Payer Balance Due : 605.34 Patient Balance Due 0.00
Total Current Receipt Amount : AED Zero And Zero Fils only
Current Payment Details

Cash : 0.00

Tokens

Printed Date & Tme : 05-06-2024 12:06 Uwais UsmanMirza

(Cashier Name)