5/11/2020 https://mdcity.karexpert.

com/dhsview/invoice

INPATIENT BILL (Detailed)

I.P. No. : IP-836 Bill No. : MD-2020-185
UHID : MD0000004381 Bill Date : 5/11/2020, 5:24:58 PM
Patient Name : Mr. VEDAANSH TALWAR D.O.A : 02/05/2020, 09:01:51
Age / Sex : 18Y 10M 27D / Male Contact No. : 8076930159
Ward / Bed No. : SEMI-PVT/SEMI-PVT 0036 : BA-49 WEST SHALIMAR BAGH
Address
DELHI,DELHI,North East Delhi

Payer : Self Consultant : Dr. Rajeev Gupta

S# Date Service Name Qty Description Rate(₹) Patient Amount(₹)Company Amount(₹)Amount(₹)

BedCharges
1 May 2, 2020 PRIVATE 1 5,500 5,500 0 5,500
2 May 3, 2020 PRIVATE 1 5,500 5,500 0 5,500
3 May 4, 2020 PRIVATE 1 5,500 5,500 0 5,500
4 May 5, 2020 PRIVATE 1 5,500 5,500 0 5,500
5 May 6, 2020 PRIVATE 1 5,500 5,500 0 5,500
6 May 7, 2020 PRIVATE 1 5,500 5,500 0 5,500
7 May 8, 2020 PRIVATE 1 5,500 5,500 0 5,500
8 May 9, 2020 PRIVATE 1 5,500 5,500 0 5,500
9 May 10, 2020 PRIVATE 1 5,500 5,500 0 5,500
Subtotal 49500 0.00 49500

ServicesAndProcedures
COVID 19 RMO
10 May 10, 2020 1 1,000 1,000 0 1,000
Charges
Covid 19
11 May 10, 2020 1 1,000 1,000 0 1,000
Patient Diet
COVID 19 PPE
12 May 10, 2020 1 9,000 9,000 0 9,000
Charges
COVID 19 RMO
13 May 10, 2020 1 1,000 1,000 0 1,000
Charges
Covid CARE
14 May 10, 2020 AND HYGIENE 1 3,000 3,000 0 3,000
CHARGE
COVID 19
15 May 10, 2020 Nursing 1 1,000 1,000 0 1,000
Charges
COVID 19 PPE
16 May 10, 2020 1 9,000 9,000 0 9,000
Charges
COVID 19 RMO
17 May 10, 2020 1 1,000 1,000 0 1,000
Charges
COVID 19 PPE
18 May 10, 2020 1 9,000 9,000 0 9,000
Charges
COVID 19
19 May 10, 2020 Nursing 1 1,000 1,000 0 1,000
Charges
COVID-19 BMW
20 May 10, 2020 Wastages 1 800 800 0 800
Charges
Covid 19
21 May 10, 2020 1 1,000 1,000 0 1,000
Patient Diet
COVID-19 BMW
22 May 10, 2020 Wastages 1 800 800 0 800
Charges

https://mdcity.karexpert.com/dhsview/invoice 1/5
5/11/2020 https://mdcity.karexpert.com/dhsview/invoice

INPATIENT BILL (Detailed)

I.P. No. : IP-836 Bill No. : MD-2020-185
UHID : MD0000004381 Bill Date : 5/11/2020, 5:24:58 PM
Patient Name : Mr. VEDAANSH TALWAR D.O.A : 02/05/2020, 09:01:51
Age / Sex : 18Y 10M 27D / Male Contact No. : 8076930159
Ward / Bed No. : SEMI-PVT/SEMI-PVT 0036 : BA-49 WEST SHALIMAR BAGH
Address
DELHI,DELHI,North East Delhi

Payer : Self Consultant : Dr. Rajeev Gupta

S# Date Service Name Qty Description Rate(₹) Patient Amount(₹)Company Amount(₹)Amount(₹)

COVID 19
23 May 2, 2020 Nursing 1 1,000 1,000 0 1,000
Charges
COVID-19 BMW
24 May 2, 2020 Wastages 1 800 800 0 800
Charges
Covid 19
25 May 2, 2020 1 1,000 1,000 0 1,000
Patient Diet
COVID 19 PPE
26 May 2, 2020 1 9,000 9,000 0 9,000
Charges
Covid CARE
27 May 2, 2020 AND HYGIENE 1 3,000 3,000 0 3,000
CHARGE
Covid CARE
28 May 3, 2020 AND HYGIENE 1 3,000 3,000 0 3,000
CHARGE
COVID 19 RMO
29 May 2, 2020 1 1,000 1,000 0 1,000
Charges
COVID 19 PPE
30 May 3, 2020 1 9,000 9,000 0 9,000
Charges
COVID 19
31 May 3, 2020 Nursing 1 1,000 1,000 0 1,000
Charges
COVID 19
32 May 4, 2020 Nursing 1 1,000 1,000 0 1,000
Charges
COVID-19 BMW
33 May 3, 2020 Wastages 1 800 800 0 800
Charges
COVID 19
34 May 2, 2020 1 4,500 4,500 0 4,500
TEST
COVID 19
35 May 5, 2020 Nursing 1 1,000 1,000 0 1,000
Charges
COVID 19 PPE
36 May 4, 2020 1 9,000 9,000 0 9,000
Charges
COVID-19 BMW
37 May 4, 2020 Wastages 1 800 800 0 800
Charges
COVID-19 BMW
38 May 5, 2020 Wastages 1 800 800 0 800
Charges
Covid CARE
39 May 4, 2020 AND HYGIENE 1 3,000 3,000 0 3,000
CHARGE
COVID 19
40 May 6, 2020 Nursing 1 1,000 1,000 0 1,000
Charges

https://mdcity.karexpert.com/dhsview/invoice 2/5
5/11/2020 https://mdcity.karexpert.com/dhsview/invoice

INPATIENT BILL (Detailed)

I.P. No. : IP-836 Bill No. : MD-2020-185
UHID : MD0000004381 Bill Date : 5/11/2020, 5:24:58 PM
Patient Name : Mr. VEDAANSH TALWAR D.O.A : 02/05/2020, 09:01:51
Age / Sex : 18Y 10M 27D / Male Contact No. : 8076930159
Ward / Bed No. : SEMI-PVT/SEMI-PVT 0036 : BA-49 WEST SHALIMAR BAGH
Address
DELHI,DELHI,North East Delhi

Payer : Self Consultant : Dr. Rajeev Gupta

S# Date Service Name Qty Description Rate(₹) Patient Amount(₹)Company Amount(₹)Amount(₹)

COVID 19 RMO
41 May 4, 2020 1 1,000 1,000 0 1,000
Charges
COVID 19 PPE
42 May 5, 2020 1 9,000 9,000 0 9,000
Charges
COVID 19 PPE
43 May 6, 2020 1 9,000 9,000 0 9,000
Charges
COVID 19 RMO
44 May 5, 2020 1 1,000 1,000 0 1,000
Charges
Covid CARE
45 May 5, 2020 AND HYGIENE 1 3,000 3,000 0 3,000
CHARGE
COVID-19 BMW
46 May 6, 2020 Wastages 1 800 800 0 800
Charges
COVID 19 RMO
47 May 6, 2020 1 1,000 1,000 0 1,000
Charges
COVID-19 BMW
48 May 7, 2020 Wastages 1 800 800 0 800
Charges
COVID 19 RMO
49 May 7, 2020 1 1,000 1,000 0 1,000
Charges
Covid CARE
50 May 6, 2020 AND HYGIENE 1 3,000 3,000 0 3,000
CHARGE
COVID 19 RMO
51 May 8, 2020 1 1,000 1,000 0 1,000
Charges
COVID 19
52 May 7, 2020 Nursing 1 1,000 1,000 0 1,000
Charges
COVID 19 PPE
53 May 7, 2020 1 9,000 9,000 0 9,000
Charges
COVID 19
54 May 8, 2020 Nursing 1 1,000 1,000 0 1,000
Charges
COVID 19 PPE
55 May 8, 2020 1 9,000 9,000 0 9,000
Charges
COVID-19 BMW
56 May 8, 2020 Wastages 1 800 800 0 800
Charges
Covid CARE
57 May 7, 2020 AND HYGIENE 1 3,000 3,000 0 3,000
CHARGE
Covid CARE
58 May 8, 2020 AND HYGIENE 1 3,000 3,000 0 3,000
CHARGE
Covid CARE
59 May 9, 2020 AND HYGIENE 1 3,000 3,000 0 3,000
CHARGE

https://mdcity.karexpert.com/dhsview/invoice 3/5
5/11/2020 https://mdcity.karexpert.com/dhsview/invoice

INPATIENT BILL (Detailed)

I.P. No. : IP-836 Bill No. : MD-2020-185
UHID : MD0000004381 Bill Date : 5/11/2020, 5:24:58 PM
Patient Name : Mr. VEDAANSH TALWAR D.O.A : 02/05/2020, 09:01:51
Age / Sex : 18Y 10M 27D / Male Contact No. : 8076930159
Ward / Bed No. : SEMI-PVT/SEMI-PVT 0036 : BA-49 WEST SHALIMAR BAGH
Address
DELHI,DELHI,North East Delhi

Payer : Self Consultant : Dr. Rajeev Gupta

S# Date Service Name Qty Description Rate(₹) Patient Amount(₹)Company Amount(₹)Amount(₹)

Subtotal 149700 0.00 149700

IPConsultation
IP DOCTOR Dr. A K
60 May 11, 2020 1 1,500 1,500 0 1,500
VISIT MALHOTRA , .
IP DOCTOR Dr. A K
61 May 11, 2020 1 1,500 1,500 0 1,500
VISIT MALHOTRA , .
IP DOCTOR Dr. A K
62 May 11, 2020 1 1,500 1,500 0 1,500
VISIT MALHOTRA , .
IP DOCTOR Dr. A K
63 May 11, 2020 1 1,500 1,500 0 1,500
VISIT MALHOTRA , .
IP DOCTOR Dr. A K
64 May 11, 2020 1 1,500 1,500 0 1,500
VISIT MALHOTRA , .
IP DOCTOR Dr. A K
65 May 11, 2020 1 1,500 1,500 0 1,500
VISIT MALHOTRA , .
IP DOCTOR Dr. A K
66 May 11, 2020 1 1,500 1,500 0 1,500
VISIT MALHOTRA , .
IP DOCTOR Dr. A K
1
67 May 11, 2020
VISIT MALHOTRA , . 1,500 1,500 0 1,500

IP DOCTOR Dr. A K
1
68 May 11, 2020
VISIT MALHOTRA , . 1,500 1,500 0 1,500

IP DOCTOR Dr. A K
1
69 May 11, 2020
VISIT MALHOTRA , . 1,500 1,500 0 1,500

IP DOCTOR Dr. A K
1
70 May 11, 2020
VISIT MALHOTRA , . 1,500 1,500 0 1,500

IP DOCTOR Dr. A K
1
71 May 11, 2020
VISIT MALHOTRA , . 1,500 1,500 0 1,500
Dr. A K
IP DOCTOR 1
72 May 11, 2020 MALHOTRA , . 1,500 1,500 0 1,500
VISIT
Dr. A K
IP DOCTOR 1
73 May 11, 2020 MALHOTRA , . 1,500 1,500 0 1,500
VISIT
Dr. A K
IP DOCTOR 1
74 May 11, 2020 MALHOTRA , . 1,500 1,500 0 1,500
VISIT
Dr. A K
IP DOCTOR 1
75 May 11, 2020 MALHOTRA , . 1,500 1,500 0 1,500
VISIT
Dr. A K
IP DOCTOR 1
76 May 11, 2020 MALHOTRA , . 1,500 1,500 0 1,500
VISIT
Dr. A K
IP DOCTOR 1
77 May 11, 2020 MALHOTRA , . 1,500 1,500 0 1,500
VISIT
Subtotal 27000 0.00 27000

Registration Charges
100 100 0 100
Registration
78 May 11, 2020 1
Fee Subtotal 100 0.00 100

https://mdcity.karexpert.com/dhsview/invoice 4/5
5/11/2020 https://mdcity.karexpert.com/dhsview/invoice

INPATIENT BILL (Detailed)

I.P. No. : IP-836 Bill No. : MD-2020-185
UHID : MD0000004381 Bill Date : 5/11/2020, 5:24:58 PM
Patient Name : Mr. VEDAANSH TALWAR D.O.A : 02/05/2020, 09:01:51
Age / Sex : 18Y 10M 27D / Male Contact No. : 8076930159
Ward / Bed No. : SEMI-PVT/SEMI-PVT 0036 : BA-49 WEST SHALIMAR BAGH
Address
DELHI,DELHI,North East Delhi

Payer : Self Consultant : Dr. Rajeev Gupta

S# Date Service Name Qty Description Rate(₹) Patient Amount(₹)Company Amount(₹)Amount(₹)

Gross Amount(₹) 226300

Discount(₹) 0

Net Amount(₹) 226300

Net Advance Amount(₹) 0

Authorised Amount(₹) 0

Due Amount(₹) 0

Authorised By Dr. A K MALHOTRA

Remarks

Patient's/Attendant's Signature Authorised Signatory

https://mdcity.karexpert.com/dhsview/invoice 5/5