Bill To Mrs.Syamala Kunchi Invoice Number 200173321
C/o Devi Prasad,Gajuwaka, Invoice Date & Time 20/05/2021 02:24PM Pedagantyada,530044 Patient ID 57039 Ph: 6281840562 Admit Date & Time 17/05/2021 11:21 PM Consulted to T.Rajasekhar
Description Quantity Unit price Amount
Admission Fee 1 Rs. 820 Rs. 820
Pharmacy 1 Rs. 1,754.63 Rs. 1,754.63
Medical Materials 1 Rs. 7,243.37 Rs. 7,243.37
ECG 1 Rs. 600 Rs. 600
Procedures Ward 1 Rs. 15,000 Rs. 15,000
Misc Charges 1 Rs. 1,023 Rs. 1,023
Doctors Fee & Bio chemistry 1 Rs. 2,200 Rs. 2,200
X-ray Chest 1 Rs. 450 Rs. 450
Subtotal Rs. 29,091
GST Rs. 3,226.92
Total Rs. 32,317.92
Paid Amount Rs. 32,320
Balance Due -Rs. 2.08
Terms and Conditions :
The above patient charged for the above medications and Procedures. Note : All transcations to the clinic are purely cash based. Kindly please collect the discharge format from officials.