Plot No.

-1, Sector-47
Gurugram-122018, Haryana
Tel:0124-423805
Email:info@cdas.in

UHID 55385 Bill Number OPB142

Patient Name Ms Seema Bill Date & Time 22-11-2020 11:21:12 AM
Age / Gender 27 Y, 3 M, 26 D/Female Registered Date & Time 20-11-2020 08:24:53 PM
Payer Name Self Payer Type cash

OP FINAL BILL (Amount in Rs)

S.N Service Type Item Description Priority Price Discoun Net Service
t Price Code
1 Pathology Complete Blood Count Routine 380.00 .00 380.00 50037

Payment Details:
S.N Mode Payment Date Time Amount Transaction Type
1 cash 22-11-2020 11:21:12 AM 380.00 PAID SETTLEMENT

Total Amount 380.0

Net Amount 380.0
Received Amount 380.0

Printed By Print Date & Time Created By

Seema 22-11-2020 11:26:00 AM Amit Tomar

(*********** Electronically Generated Report ***********)

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