GSTIN: 36AAACA5443N3ZH OP Cash Bill - Bill of Supply Reference No:

Name : Mr. MOHAMMED IMTIYAZ Age: 45Yr 0Mth 0Days UHID: APD4.0000490481
AHMED
Sex: Male
*APD4.0000490481*
Father Name : LATE MOHAMMED IBRAHIM
OP Number: DRDOPP908108
Address : HNO.18-12-419/C/1374 C BLOCK
HAFEZ BABA NAGAR Hyderabad
Te l a n g a n a India 500058 ,
*DRDOPP908108*
CellNo:91-8106822231

Doctor's Name : DR. M SAI KUMAR

Bill No : DRD-OCS-718384
Speciality : CARDIOLOGY
Date : 27-Jun-23 Time : 0:34:38
Payer Name : AROGYA SREE - TELANGANA OP AGREEMENT

Ref No : A SREE 365360162461 DRD-OCS-718384

Authorization No : A SREE 365360162461

Employer Name : AROGYA SREE - TELANGANA

Bill Amount: `. 0.00 FOR APOLLO HOSPITALS

Amount in words: ` Zero Only

S.No Aliascode Service Type\Service Name Department Qty Ref Tariff Dis(%) Amount(INR)
1 Investigations(999311)
1 2D-ECHO WITH COLOUR DOPPLER Echo Lab 1 0.00 100.00 0.00
2 0 ECG ECG 1 0.00 100.00 0.00
Sub Total 0.00
2 Profile(999311)
1 CATH PROFILE - lll ( Without Chest CT Wards Others 1 0.00 100.00 0.00
Screening )
Sub Total 0.00

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Name : Mr. MOHAMMED IMTIYAZ AHMED OP Number: DRDOPP908108 Bill No: DRD-OCS-718384

0.00

0.00
No Tax Is Payable on Reverse Charge Basis

*(QR) Denotes Cancelled Services

Denotes Quick Registration Authorized Signatory
Mr. P.V.V.Gopal Krishna
Signature Of Patient/Attendant
Cashier
Relationship with Patient :
PAN NO:AAACA5443N * TAN NO:HYDA02318B * ROHINI ID:8900080162655
Online Payment access- https://pay.apollohospitals.com
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 Name : Mr. MOHAMMED IMTIYAZ AHMED OP Number: DRDOPP908108 Bill No: DRD-OCS-718384
Package Information

S.No Service Type\Service Name Department

1 CATH PROFILE - lll ( Without Chest CT Screening )

1 ANTI HCV ELISA Microbiology
2 CREATININE - SERUM / PLASMA BioChemistry
3 H I V - 1+2 SCREENING(Ag+Ab) Microbiology
4 HBsAg Microbiology
5 HEMOGLOBIN (AUTOMATION) Haematology
6 PLATELET COUNT Haematology
7 POTASSIUM - SERUM / PLASMA BioChemistry
8 TOTAL LEUCOCYTE COUNT (TLC) Haematology

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