Patient Detail : Registration Date:

Mr. Usman Khan. . 41 (Y) / Male 21-Jun-2021 12:13

Mobile: Reference:
- , 03008691975 Blue Card - Diabetes Care Program

Registration Location: Consultant:

Patient Number: 37001-16-102074642
Radiology-10: Ali Center CMC Medical Center . Case Number: 18006-21-06

NIC # :
36502-2497367-3

Patient Bill
Sr. Test Name Reporting Date & Time Rate
1 Cl Blue Card Jun 22, 2021 - 04:11 500.00
2 CT Chest High Resolution (HRCT Chest) Jun 22, 2021 - 20:00 10000.00

Total : 10500.00
Discount : 1500.00
To Be Paid : 9000.00

Paid : 9000.00
Payment Received By Credit Card: Credit Card#515907*****3519

Remarks : 1 Blue Card No:2557000132930247

2 If previous imaging studies/filmsare submitted after our reporting, there would be additional charges for
comparison. Please ensure provision of previous studies for comparison at the time of scanning. Please notify
emergency cases.They will be given priority. Remaining reports will be ready within 24-36 hrs,excluding holidays.

Registered By : Vaneeza4483

Collection Center

Center Name : Radiology-10: Ali Center CMC Medical Center

Phone Number : ,0345-4008430

Email :

Contact Person : Mr. Shoukat Yousaf

Address : MAIN HEAD OFFICE 10-Jail Raod

Lahore.
You can now view your lab results online at www.chughtailab.com

Please do not lose this receipt. You will need your patient number and case number to view your reports online.

Lahore: 10 Jail Road, Main Gulberg | Karachi: Al Khaleej Plaza, Shaheed-e-Millat Road

www.chughtailab.com UAN: 03- 111-456-789 Fax: 04235710262 info@chughtailab.com

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