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Name
Father Name
Address
Doctor's Name
Speciality
I STRNo: 0PCasrrBiII

Reference No':
: Mrs. RICHA VARMA Age: 28Yr 6Mth 2Days UHID: C042.0000001161
Sex: Female
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: MR
: A1/402 SILVER CITY SECTOR-93 OP Number: NDAOPP1066
NOIDA Noida Uttar Pradesh India,
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DR.HARMEET MALHOTRA
Bill No : NDA-OCS-1188
:
OBSTETRICS AND GYNAECOLOGY
Date : 28-Apr-13 Time: 10:25:03
:
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Bill Amount: Rs 1,030.00
I Amount in words: Rupees One Thousand Thirty Only
S.No Service Type/Service Name Department Quantity Amount
1 Investigation
1 URINE ROUTINE (CUE) Haematology 1 90.00
2 ULTRASOUND PREGNANCY GROWTH SCAN Ultrasound Radiology 1 850.00
3 GLUCOSE CHALLENGE TEST GCT 75gm BioChemistry 1 90.00
I
Sub Total 1,030.00
.
,.
Service Amount: 1,030.00
Total Bill Amount 1,030.00
Final Payment 1,030.00
Receipt Details: Received with thanks sum of Rs.1,030.00 (CASH)
Rupees One Thousand Thirty Only From Mrs. RICHA VARMA
*Denotes Cancelled Services Authorized Signatory
Mr.Hemant Nailwal
Cashier
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