CHRISTIAN MEDICAL COLLEGE

VELLORE - 632 004,TAMIL NADU,INDIA.

Name : SIVASANKARI. J Bill No : A002786029

Hosp No : 292192H Unit : OG3 Bill Dated : 17/06/2021 09:50 AM

GE
C/S URINE COMMON 1295.00 WBC DIFFERENTIAL 145.00
WBC TOTAL 120.00

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DI 061
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Receipt No : WEBAPT610179 Total : Rs. 1560.00
Concession given : Rs. 560.00
By Net banking : Rs. 1000.00
By Net banking : Received Rs.1000/- (Rupees One Thousand Only)

NET BANKING SERVICES

Printed On : 17/06/2021 09:50 AM PLEASE KEEP THIS SAFE
NOTE: Electronically generated details do not require any signature.
 CHRISTIAN MEDICAL COLLEGE
VELLORE - 632 004,TAMIL NADU,INDIA.

LABORATORY SAMPLE COLLECTION : INSTRUCTION FOR PATIENTS

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1. All routine samples(blood and urine) for women and children patients will be collected in room 460

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in the ground floor of the ISSCC Building

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2. ISSCC COUNTER TIME: 7AM - 4PM (AFTER 4PM GOTO G-20(OPD) MON-FRI:4PM - 8PM,SAT: 4PM - 6PM),SUNDAY
CLOSED
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3. 460, ISSCC Building, Ground floor,Entry Gate No.3
4. 460, ISSCC Building, Ground floor.
IC A 625
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5. Mon - Sat : 7AM - 4PM; After 4pm Go to G20,OPD Block,Ground floor
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6. Mon - Sat : 7AM - 4PM; After 4pm Go to G21,OPD Block,Ground floor

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 CHRISTIAN MEDICAL COLLEGE
VELLORE - 632 004,TAMIL NADU,INDIA.

NAME : SIVASANKARI. J AGE : 30 SEX : F HOSP NO : 292192H

Unit : OG3 Receipt No : WEBAPT610179 Date : 17/06/2021 09:50 AM
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Rate : CON
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SNO NAME OF TEST TRANSID
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COMMENTS E
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1
2
WBC TOTAL
WBC DIFFERENTIAL
210617016674
210617016673
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3 C/S URINE COMMON 210617016675

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Printed On : 17/06/2021 09:50 AM

 CHRISTIAN MEDICAL COLLEGE
VELLORE - 632 004,TAMIL NADU,INDIA.

NAME : SIVASANKARI. J AGE : 30 SEX : F

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HOSP NO : 292192H
Unit : OG3 Receipt No : WEBAPT610179 Date : 17/06/2021 09:50 AM
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Rate : CON

210617016675 C/S URINE COMMON

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Patient Category: Post - operative
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Type of Specimen: Mid stream Clean Catch
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DIC 251
Have you instructed your patient on the collection method for culture?: Yes
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Requested by : DR.VANKA RHODA ANUSHA
MICROBIOLOGY
Entry-gate No.3
Printed On : 17/06/2021 09:50 AM
 CHRISTIAN MEDICAL COLLEGE
VELLORE - 632 004,TAMIL NADU,INDIA.
PHARMACY SERVICES

Patient ID : 292192H Age : 30 Gender : Female Name : SIVASANKARI. J

Paid On : 17/06/2021 09:50 AM Printed On : 17/06/2021 09:50 AM

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Pay Mode : NET BANKING

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Non - Courier Bills

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Bill #
42755070
Invoice # Disp # Location
78736689 22702 ISSCC GENERAL PHARMACY
IC A625
1
DR.VENKAT
Doctor
MUKHILAN S.
Amount
318.33

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6 1 7

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Amount Paid : Rs. 318.33/-

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CH Please Collect Your Drugs at the Specified Location within 3 Days for Non- Courier Bills.

Thank You.

General Instructions :
1. Patient should collect the medicines at the Specified location within 3 days for Non - Courier Bills.

2. If the patient did not collect the medicine(Non-Courier) after online payment, Pharmacy will wait for 3 days then
manually cancel the bill and the money will go to the patient account (or) Chris Card.

3. For bill cancellation the Pharmacy will charge a minimum Service charge of 2% with a maximum of Rs.200/-.

4. Patient/relative should Show the original text message delivered to their mobile phone and Government ID proof
and Chris Card to the Pharmacist in the Specified Location.

5. For any issues in the online prescriptions in relation to dosage, quantity (or) non availability of medicines etc.,
patients should accept the relevant medicines being dispensed (including price)