SRI AUROBINDO SEVA KENDRA, KOLKATA

(An EEDF Medicare Centre) INTERNET COPY

1H,Gariahat Road(South),Jodhpur Park, Kolkata-700068
Ph: (033) 4017-1520/22/26/73
CIN : U74140WB1971NPL028179
GSTIN:19AAACE5752C1ZU CONSULTATION BILL BILL NO. : 2200138561
BILL DATE : 21-Jul-2022
PATIENT'S DETAILS : QUEUE : 14
NAME : SOURAV MONDAL : AGE : 23 Yr. 1 Mn. SEX :M REG. NO. : 2200019169
ADDRESS : GANGAJOARA, NAYABAD, SONARPUR MOB. NO. : 8240023510

PIN NO. : 700150 PHONE : 0

CONSULTATION DATE 30-Jul-2022 TIME : 09:39:00 (Approx.) ROOM NO. : 11/GR. FLR.
(PLEASE COME ON TIME AND WAIT FOR YOUR TURN)
PATIENT'S APPOINTMENT TIME IS SUBJECT TO TIMELY ARRIVAL OF THE DOCTOR/EMERGENCY PATIENTS WILL BE PRIORITISED.

TOTAL (INR)
CONSULTATION 500.00

INTERNET CHARGE (INR. 50/-) 50.00

TOTAL AMOUNT : 550.00

DOCTOR : RAMENDU HOM CHAUDHURI ( INR FIVE HUNDRED FIFTY AND ZERO PAISA ONLY )
MBBS,DGO,MS(ORTHO)

PLEASE NOTE :
(i) NO REFUND OR CHANGE IN CONSULTATION DATES, IF PATIENT IS ABSENT ON THE DAY AND TIME OF HIS/HER APPOINTMENT
WITH THE DOCTOR.
(ii) 70% OF CONSULTATION CHARGE VALUE IS REFUNDABLE IF CANCELLTION IS NOTIFIED, MINIMUM ONE DAY IN ADVANCE. NO
ADVANCE OR ADJUSTMENT, THEREAFTER.
ADJUSTMENT OF DATE IS SUBJECT TO THE DISCRETION OF THE MANAGEMENT AND PRODUCTION OF VALID DOCUMENTS.

(iii) THIS COMPUTER GENERATED BILL SHOULD BE ACKNOWLEDGED AS THE ORIGINAL MONEY RECEIPT, SIGNATURE NOT
REQUIRED.
(iv) IF SYMPTOMS OF FEVER / COUGH / COLD, EXISTS OR PRESENT IN THE PAST SEVEN DAYS , PATIENT TO BE DIRECTED
TO FLU CLINIC. SCHEDULED APPOINTMENT MAYBE CANCELLED AGAINST REFUND OR ADJUSTMENT WITH NEW DATES
(SUBJECT TO AVAILABILITY).

Bill Generation Time : 21-Jul-2022 6:51 pm Printing Date & Time 21 July 2022 06:51 PM