You are on page 1of 1

RECEIPT

Receipt No. : D - 3628 Name : Shiv Kumar Shaw (ID: 3636) Sex / Age : Male / 49 years

Payment Mode : CASH Referral : SELF Date & Time : 24/05/21, 10:10 AM

Sr. Test Name Test Price

1 SARS-CoV2 RT-PCR 950.00

Payable Amount (in words) : Nine Hundred Fifty only Total : 950.00

Payable Amount : 950.00

Total Paid : 950.00

Cashier's Signature

You might also like