MEDICLAIM

KARAN JAIN, HBE

Emp Code : 530024
H.Q. JAIPUR
IFFCO TOKKYO POLICY NO. 52727509-1-0

S NO. Bill Type Amount

1 OPD CONSULTATION FEE 300
2 X RAY FEE 600
3 PLASTER IN HAND FEE 1000
4 MEDICINES 592
5 medicines 380
6 medicines 168
7 OPD CONSULTATION FEE 350
8 X RAY FEE 410
9 MEDICINES ( SANTOKABA THE PHARMACY BILL 663
10 ADMISSION FEE 750
11 OPD CONSULTATION FEE 600
12 MEDICINES ( VARDHMAN BILL ) 518.3
13 MEDICINES ( VARDHMAN BILL ) 364.73
14 FINAL BILL OF HOSPITAL 26273
15 MEDICINES ( VARDHMAN BILL ) 769.65

Total Bill Amount : 33738

total attachments of bills 16
total attachments of hospital pod/ipd prescription 17
Date
08.03.17
08.03.17
08.03.17
08.03.17
08.03.17
08.03.17
16.03.17
16.03.17
17.03.17
17.03.17
17.03.17
17.03.17
18.03.17
18.03.17
24.03.17