Bill cum receipt

NAME : VARSHABEN ASHWINBHAI MALAVIYA Bill Date : 02/03/2020 11:09 AM

Patient No : P96190107608 Bill No : 96190497847

Visit No. : 96190477221 Contact No : 9428741020

Age/Sex : 50 Year(s) / F Email : subhesh_999@yahoo.co.in

Ref Doctor : Dr.PANKAJ M PATEL (RJ) Mode of Delivery : Email,Sms

Patient History :

Client : Apex Diagnostic Centr - Rajkot

Tests EARLIEST REPORT TIME Amount

Routine Examination Urine(Manual) 02/03/2020 03:08 PM 120.00

Random, Glucose 02/03/2020 03:09 PM 50.00
TruHealth SuperSenior 04/03/2020 10:08 AM 2300.00

Payment Mode Gross Total : 2470.00

Cash - Indian Rupee - 2300.00
Tax : 0.00

Discount : 170.00

Grand Total : 2300.00 INR

Received Amount : 2300.00 INR

The final reports will be electronically released on 04/03/2020 10:08 AM. BILLED BY : RINKAL VADHER
Subsequently you may collect hard copy from any metropolis centre during working hours.
Amount Received in words : ( INR) TWO THOUSAND THREE HUNDRED

Category Of Service : Health Services by a clinical establishment.

Bill Location : Safal

Dear Customer - You shall receive an SMS; as soon as your report/s is ready. Your report/s shall be e-mailed to your registered email address & we request you to please do
check on your Spam/Junk folder; if not found in your Inbox.