Discharge Bill

Bill Date: 20-06-2024 Bill No: PH0925

Pt. Name: Mr. Chandan Singh Age/Sex: 32/M IPD No.: PH0475
S/o: Mr. Ashok Kumar Singh DOA: 14-06-2024
Address: Belawa Bazar Mariahu Jaunpur U.P. - 222161 Time: 01:30 PM
Consulting Dr. Name: Dr.A.K. Verma DOD: 20-06-2024
Ward Pvt: 02 ICU: No NICU: No Time: 08:45 PM
Sr Particular Charges Days/Qty Amount
No.
1 REGISTRATION FEE 75.00 1 Time 75.00
2 ADMISSION CHARGE 300.00 1 Time 300.00
3 BED CHARGE PVT 2500.00 7 Days 17500.00
4 VISIT CHARGE 500.00 7 Days 3500.00
5 NURSING CHARGE 300.00 7 Days 2100.00
6 DIAGNOSTIC CHARGE 6100.00 3 Days 6100.00
7 MEDICAL CHARGE 48935.00 7 Days 48935.00
8 Emergeny Charge 700.00 1 Time 700.00
Total Rupees in Words: - Seventy Nine Net Amount Rs. 79210.00
Thousand Two Hundred Ten Rupees only- Discount amount Rs. 00.00
Final Amount Rs. 79210.00

Authority Signature