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Checkup Receipt

Checkup Details

Reference Number : 0000003202

Checkup Name : Lanka Healthy Living Check – Regular Plus
Counter Name : Public Relations Counter
Booking date : 31-05-2017
Expiration date : 2017/06/30
Total Fee : 5560.00/=
Breakdown of Fee : Hospital Fee: 5000.00/= + Booking Fee: 560.00/=

Patient Details

Name : Mr Nimesh Lahiru Perera

Telephone Number : 0779713929
NIC Number : 913300319V
Date : 31-05-2017

Hospital Details

Name : Lanka Hospitals Narahenpita

Telephone Number : 0115431064/65
Hospital Reference Number : null

Your medical checkup booking procedure has been Successful! Thank You.
For your Benefit, you could obtain a Printout of this page by clicking the Print icon, or going to File
--> Print --> (click on OK) in your browser.
Please take this Receipt or else the Reference No. and Relevant ID with you to the hospital and

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submit it to the null at the Durdans Hospital Ltd - Colombo 03.

No refunds will be made by eChannelling PLC under any circumstances.
From the above Fee, a Fee of Rs.5000.00 is collected For and On Behalf of the Hospital.
The above fee includes a Booking Fee of Rs560.00/= (+12% VAT) for using this system which is
non refundable in any event (eChannelling PLC VAT No 134008903-7000).
eChannelling PLC will not be held liable for any loss or damages incurred due to the Hospital
cancelling or rescheduling appointments.

Wishing You Good Health!!

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