INVOICE CUM RECEIPT

CLIENT CODE : C000023830

CLIENT'S NAME AND ADDRESS :

SRL PSC CUNNINGHAM - HOME COLLECTION
NO.-47, MILLERS ROAD, VASANTH NAGAR, SRL LIMITED
BANGALORE No. 9, TKN TOWERS, BANNERGHATTA ROAD
560051 BANGALORE, 560076
KARNATAKA KARNATAKA, INDIA
INDIA Tel : 080-66721111,26632688, Fax : Home Collection - 08026633130
Email : customercare.bangalore@srl.in

TRF No/Receipt No: 6180TI10013/1 TRF Date: 03/09/2020 12:03:53 PM

Name MS.PRAGYA MODI ID PRAGM0109900 Print Date:

03/09/2020
Ref. Doctor Name: SELF

Test Code Test Name Amount

3163 PROGESTERONE, SERUM 750.00

Total: 750.00
Other Charges: 0.00
Net Amount : 750
Advance Amount : 0.00
Paid Amount : 750.00
Balance Amount: 0.00

Amount In Words Seven hundred and fifty Rupees and Zero Paise

This is a Computer - generated Receipt. Signature is not required.