Bill Of Supply

Name : Miss Archana Singh Bill No : CHSR-OCS-88276

Age/Gender : 22 Y F Bill/Reg Date : 10.09.2019 20:02
Contact No : +919123807693 Referred by : Dr ANURADHA MEDA
Address : sarjapur road Center : HSR Layout
UHID : CSAR.0000063462
*CSAR.0000063462*
Description Of Gross CGST CGST SGST/UTGST SGST/UTGST
# Department SAC Code Qty Rate Discount Net Value
Service Value Rate Amt Rate Amt
Dr ANURADHA
1 OP Consultation 999312 1 500.00 500.00 0.00 0.00 0.00 0.00 0.00 500.00
MEDA
Bill Amount: 500.00
Payments Receipt No Mode Amount
Total Discount: 0.00
Settlement
Patient Payment: 500.00
10-09-2019 CHSRRCA87898 Debit Card 500.00
Patient Due: 0.00
Received with thanks: Five Hundred Rupees only

Authorized Signature :(ASHA)

Please log on to AskApollo.com for booking Appointments

Consultation validity is only 7 days from the Date of Bill Generation
Center Address:54, 1st Floor, 12th Main Road, Behind BDA Complex, Sector-6, HSR Layout, Bengaluru, Karnataka, India - 560102
Please log on to AskApollo.com for booking Appointments
Consultation validity is only 7 days from the Date of Bill Generation
Center Address:54, 1st Floor, 12th Main Road, Behind BDA Complex, Sector-6, HSR Layout, Bengaluru, Karnataka, India - 560102