i agnostic Booking Slip / Money Receipt HH Paver Patient Code KAS/01-06-20211 PatientName Mrs. SWATI BOSE Date 01/06/2021 Address 87/12/141C RAJA S.C MALLICK Gender Female ROAD Age '58 Years 5 Months 18 Days kolkata - 700047 sotor SELF Sr. Ne Services Booked Department code Charges Booking Date Delivery Date 1 VACCINATION :: COVISHIELD ‘Molecular Pathology pou iijoe2a Gross Bill(Rs.) a 60000 (NINE HUNDRED RUPEES ONLY) o1os/2021 cash ‘900.00 Net Balance (Rs.) <= «ni Important + Ifyou face any PROBLEM please contact the MANAGER / FLOOR MANAGER, Report Delivery Time _: 06:00:00 PM - 08:00:00 PM( On Delivery Date ),02:00:00 PM - 03:00:00 PM( Sundays & Holidays ) Delivery Date is valid only if Sample givenyTest is done on Booking Date before 04:00:00 PM Confirmed By : Sucheta Das [Print Date & Tinwo1/08/2021 12:07:43 Web Download : For downloading reports visit www.surakshanet.com UserName: SR4429931 Password: W3574906 sess - 1542 Sounend Conaave, KOLKATA WO, Pin Cade - 700107 (GST No. T9AAICS43HEFIZ3 help Line No 053.5151000 [Enel lo@suralshane com]