Bill Cum Receipt

S.No

Service Cd

Service Name

CB053

CB168

3
4

Cust.Name

: Mrs.PALLAVI TUNGE

Mobile No

: 9168274487

Age/Gender

: 28Y(s)/Female

SID No

: 177400530550

CID No

: 1601601404

Reg.Date

: 16-Jan-2016 11:52 AM

Dr

: PARVATI PAI RAITURKAR

Rate

Net Amount

ANA BY IMMUNOFLUORESCENCE

850.00

850.00

Phospholipid IgG (B-2 glycoprtn/APLA-IgG)

750.00

750.00

CB169

Phospholipid IgM (B-2 glycoprtn/APLA-IgM)

750.00

750.00

PR144

TORCH 8

Received with thanks from PALLAVI TUNGE a sum of Rs. 5,050.00/In Words Rupees Five Thousand Fifty Only

Created By/Date Time : SD00886/16-Jan-2016 11:52 AM

Printed By/Date Time

: HIMSDEV/19-Jan-2016 06:07 PM

2,700.00

2,700.00

Total : 5,050.00

5,050.00
Net Amount

5,050.00

Paid Amount

5,050.00