BILL CUM RECEIPT

Patient Category Cash INV-O-TNGPM-19011516

MRN TNGPM0000226336 Mr. Invoice Date April 19,2019 09:24
Patient Name
TANMAY TALUKDAR Visit No. OP-001
Gender / Age
MALE/27 Years 7 Months General
Contact No Charge Class
Address 9840909353 Dr. UTHRA S
Attending Doctor
NO-J3,D-BLOCK,PEACE GARDEN
APRT,2nd CROSS STREET,
MOOVENDER NAGAR,NOOMBAL,
CHENNAI-600077, CHENNAI, TAMIL
NADU, INDIA - - 600077

SI No. Description Unit Rate Qty Amount (Rs.)

Total Amount (Rs.)
CARDIOLOGY &
ECG TEST
15,230.00 1.00 15,230.00
CARDIOLOGY Total 15,230.00
CLINICAL LABORATORY
2 BLOOD UREA 140.00 1.00 140.00

3 HAEMOGRAM 390.00 1.00 390.00

4 URINE P / C RATIO 390.00 1.00 390.00

5 GLYCOSYLATED HBA1_C BLOOD TEST 540.00 1.00 540.00

6 MICRO ALBUMINURIA 420.00 1.00 420.00
7 GLUCOSE TOLERANCE TEST 530.00 1.00 530.00

8 LIVER FUNCTION TEST 810.00 1.00 810.00

9 URINE COMPLETE EXAMINATION 160.00 1.00 160.00
10 SERUM TRIGLYCERIDES 230.00 1.00 230.00

11 SERUM CHOLESTEROL 180.00 1.00 180.00

12 HDL CHOLESTEROL 230.00 1.00 230.00
13 SERUM CREATININE 140.00 1.00 140.00
14 THYROID FUNCTION TEST 970.00 1.00 970.00
15 FASTING BLOOD SUGAR (CBG) 110.00 1.00 110.00
TOTAL 5,240.00
NEUROPATHY
CLINICAL LABORATORY Total

16 DOPPLER 5,180.00 1.00 5,180.00

PHYSICAL ACTIVITY & PHYSIOTHERAPY 230.00

Fitness Consultation (First visit) 230.00
17 230.00 1.00
PHYSICAL ACTIVITY & PHYSIOTHERAPY
RADIOLOGY

X-RAY CHEST PA VIEW 540.00 1.00 540.00

Total 540.00
Total Hospital Charges for Services/Items rendered 26,420.00 26,420.00

Prepared By WILLIAM HENRY D, 5600 Generated Prepared On 19/04/2019 09:24

By WILLIAM HENRY / WILLIAM Generated On 19/04/2019 09:24
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