Rainbow Children's Medicare Pvt.

Ltd

Rainbow Children's Hospital - Guindy, Chennai, Door No.157 Registered Office: 8-2-120/103/1, Survey No.403, Road No. 2, Banjara
to 160, Anna Salai, Guindy, Chennai Hills, Hyderabad 500034, Telangana
GSTIN : 33AABCR4014M1ZK CIN : U85110TG1998PTC029914

Out Patient(OP) Bill Of Supply

Bill Number : GUI-2021-031479 Bill Date : 10/09/2021 13:27 pm

Mrs. Preethi R Age/Gender : 31 / FEMALE

Address : Phone : 9940127023

Sl. No Services SAC Code Qty Price Amount (Rs)

1 SPUTNIK VACCINATION ADMINISTRATION CHARGES 999312 1 1145.00 1145.00

Recieved with thanks the Sum of Rs. 1145.00 Total Amount : 1145.00
( One Thousand One Hundred and Forty Five ) INR Only.

From Preethi R By CARD

Card Number : XXXXXXXXXXXX0000

Card Holder Name : PREETHI R

Paid Amount : 1145.00

Rainbow Children's Medicare Pvt Ltd

Devi Sri

Printed On : Sep 10 2021 01:27 pm By Devi Sri This is a digitally generated bill hence it is not signed