APOLLO HOSPITALS
EMERGENCY
1066
Opposite IIMB,154/11, Amalodbhavi Nagar, Panduranga Nagar,
Bangalore - 560076 (India)
Tel.: +(91)-80-26304050 / 26304051 Fax: +(91)-80-41463151
INPATIENT BILL
PATIENT DETAILS
IP No. : 97101
ID No. : 0000246611
Saravana kumar V
Bill No. : ICR33504
A2 Nagesan nagar
Vadalur
Cuddalore taluk
TamilNadu
Bill Dt./Time : 13-Jan-2013 10:06 AM
Admission Dt./Time : 10-Jan-2014 7:22 AM
Discahrge Dt./Time : 13-Jan-2014 10:06 AM
DETAILS
Service Name
Amount(Rs.)
ROOM RENT
PHARMACY
MEDICAL EQUIPMENT
CONSULTATIONS
CONSUMABLES
INVESTIGATIONS
4,000.00
2,765.54
1,000.00
2,400.00
2,118.00
2,860.00
------------------------------------------------------------------------------------------------------------------------------------------------------------------Bill Amount
15,143.54
-----------------------------------------------In Words :
Fifteen Thousand Hundred Forty Three Rupees and Fifty Four Paise.
Refundable Deposit As On 13-Jan-2014 10:05 AM
Rs.5000
This is a computer generated statement and requires no signature.
This Receipt is valid for an employer or insurer, who is contractually obligated to reimburse the medical expenses covered by MediSave
and/or MediShield.
For billing and general enquiries, please mail: customercare_bangalore@apollohospitals.com
Apollo Hospitals, Bangalore 2013, All Rights reserved