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SL,

NO
1

NAME OF THE MEDICAL SHOP


CHETANA MEDICALS

CHETANA MEDICALS

CHETANA MEDICALS

CHETANA MEDICALS

CHETANA NURSING HOME

NAME OF MEDICINES

RECEIPT NO

DISPOVEN 10ML SYRINGE


...............................................
...................
MASK
STERILE GLOVES 7.1/2

.
DIVON INJ
INSULIN SYRENG

DATE:-18-4-2011

NS 500 ML IVES

OMEZ INJ

DATE:- 19-11-2011

R.L (LR) 500ML IVES


..
DISPOVEN 10 ML SYRINGE

DATE:- 20-11-2011

DISPOVEN 2ML SYRINGE

VIZYLAC CAPS

DATE:- 21-11-2011

ADVANCE

DATE:- 21-11-2011

10521 -(1)

10521- (2)
10521-(3)

3001.57

10533

389.95

10535

395.43

10542

264.38

1813
6

CHETANA MEDICALS

CHETANA NURSING HOME

5000-00

GENTICYN 80 MG INJ
..
PICLIN SYRUP 100ML

DATE:-22-11-2011

ROOM RENT

DATE:-23-11-2011

10557

118.52

3563
8

CHETANA LABORATORY

LAB CHECKUP

1000-00

DATE:- 23-11-2011
1642

CHETANA NURSING HOME

I.P.BILL

PRICE

510-00

DATE:-23-11-2011
1963

11800-00
TOTAL :

22.479.82

PLACE : ..
DATE :.

SIGNATURE OF THE MEDICAL OFFICER


OF
INCHARGE OF THE CASE AT THE HOSPITAL
ATTENDENT

SIGNATURE AND DESIGNATION


AUTHORISED MEDICAL

SL,
NO
1

NAME OF THE MEDICAL SHOP


CHETANA NURSING HOME

NAME OF MEDICINES
ADVANCE

RECEIPT NO
DATE:- 22-11-2011
1821

CHETANA MEDICALS

CHETANA MEDICALS

CHETANA MEDICALS

CHETANA MEDICALS

1000-00

MANNITOL 20% IVES

FLAVOSPAS TAB

DATE:- 22-11-2011

CEFENTRAL 1GM
..
VERBET 8 MG TAB

DATE:- 23-11-2011

AMLOSAFE 5MG TAB

VERBET 8 MG TAB

DATE:- 24-11-2011

AMLOSAFE 5MG TAB

DATE:- 25-11-2011

10527

891.75

10547

263.72

10552

245.89

10553
6

CHETANA MEDICALS

CHETANA LABORATORY

14.40

VERBET 16 MG TAB
..
MYOPROL XL 50MG TAB

DATE:-26-11-2011

LAB CHARGE

DATE:-26-11-2011

10561

105.90

1675
8

CHETANA NURSING HOME

NURSING HOME ROOM RENT

1565-00

DATE:- 26-11-2011
3573

CHETANA NURSING HOME

I.P.BILL

800-00

DATE:-23-11-2011
1973

715-00

10

CHETANA NURSING HOME

OP BILL

DATE:-02-12-2011
11923

11

CHETANA MEDICALS

Z-STAT 10MG
..
CONTIFLO ICON 0.4MG TAB

DATE:-02-12-2011

PLACE : ..

PRICE

10603

50-00

443.85
TOTAL:

6095-00

DATE :.

SIGNATURE OF THE MEDICAL OFFICER


OF

SIGNATURE AND DESIGNATION

INCHARGE OF THE CASE AT THE HOSPITAL


ATTENDENT

AUTHORISED MEDICAL

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