Money Receipt

Bill No : FD01/21-22/00213669
Patient Name : Mr.AMIT KUMAR BAGCHI Reg. Date : 04-Sep-2021 16:40:07
Address. : Patient ID : 378241
Contact No. : Lab No. : 012109040899
Referred By : Dr. PRE EMPLOYMENT MEDICAL Age : 42 Y Sex : Male
Collector : Corporate : NAPH - Radha Krishna Jana
Comments : Lab Boy :
Sr.No Department Test Name WBCL/NAPH/ Delivery Date Test Rate
1 CLINICAL PATHOLOGY RE - Stool 05-Sep-2021 150.00
2 CLINICAL PATHOLOGY RE - Urine 05-Sep-2021 150.00
3 HEMATOLOGY CBC 05-Sep-2021 250.00
4 HEMATOLOGY Blood Group 05-Sep-2021 120.00
5 OPD PACKAGES Nirnay 61.1 - LFT Panel With GGT(SGOT/AST, Alkaline 750.00
Phosphatase , Bilirubin - T, D & I, GGT, Protein - Total -
Serum, SGPT/ALT)
6 IMMUNOLOGY HIV 1 + 2 05-Sep-2021 650.00
7 BIOCHEMISTRY Glucose - Fasting - Plasma 05-Sep-2021 70.00
8 BIOCHEMISTRY Glucose - Post Pandrial - Plasma 05-Sep-2021 70.00
9 BIOCHEMISTRY Urea - Serum 05-Sep-2021 150.00
10 BIOCHEMISTRY Creatinine - Serum 05-Sep-2021 150.00
11 BIOCHEMISTRY Uric Acid - Serum 05-Sep-2021 150.00
12 BIOCHEMISTRY Lipid Profile Basic 05-Sep-2021 750.00

Gross Amt: 3,410.00

Service : 100
Received with thanks an amount of (Rupees)Three Thousand Five Hundred Ten Only
Amount Paid: 3,510.00

Due Amount: 0.00

Print DateTime : 9/6/2021 4:05:43PM Created By : Deblina Adhya