Max Super Speciality Hospital, Saket (East)

2, Press Enclave Road, Saket

New Delhi - 110017

Bill of Supply

*070759466*
Patient Name : Ms. NANDITA GUPTA

Age/Sex : 22 years 9 months 17 days / Female Bill Date : 04-03-2019 2:04 pm

SSN : 070759466

Referred By : Vikas Panwar(Unit-1) MaxId : SKDD.759466

Bill No : SKCS2755602

PAN No. : AAATD5283G Receipt No : SKRC2326929

GSTN Bill No : DD18OD0000330263

GSTN No : 07AAATD5283G1ZR

Net
Sl.No. Services Qty Base Tariff Discounts Amount Tax Amt Bill
SAC
Price(Rs. Price(Rs.) (Rs.) (Tax %) Amount
)

1 Pus - Culture & Sensitivity 9316000 1 880.00 880.00 0.00 880.00 880.00

Total :
0.00 880.00 0.00 880.00

Paid by Patient : 880.00

Amount in Words : Rupees eight hundred eighty only collected from patient

Sum Of Rs. 880.00 received with thanks from Ms. NANDITA GUPTA

Payment Mode(s)

Cash for Rs.880.00

Authorised Signatory

Bill Generated By

Priyanka Singhal
Abhishek Raj

Place of Supply
DELHI-( 07)
Company Name
MSSH(A UNIT OF DEVKI DEVI FOUNDATION)
PAN No.
AAATD5283G

ROUTINE REPORTS CAN ALSO BE COLLECTED FROM THE HOSPITAL ON THE SAME DAY AFTER 7.00 P.M.
OR NEXT DAY AFTER 11.00 A.M. SPECIAL TESTS TURN AROUND TIME IS AS INFORMED BY THE