FPSC NCR DIAGNOSTICS

INVOICE CUM RECEIPT

3F-141, NIT-3, NEAR BIKANER SWEETS
FARIDABAD
121001
HARYANA
INDIA
9650089190

Receipt No : 1766VG10059/1 Date : 06/07/2022 04:09:04 PM Receipt Date : 06/07/2022 04:09:04 PM

Received with thanks from : MRS.SAPNA Client Code : C000129367

Prescribed by : SSB HOSPITAL Email : , Mobile No. : 7042061215

Test Code Test Description Amount

CMP83 EVERGREEN CARE FOR 40+ FEMALE 1999

Discount Amount(-) : 499.75

Other Charges : 0.00

Total : 1,499.25
Balance : 0 Advance : 1,499.00

For SRL LTD

By Cash

Your User ID is SAPNF757081240.

Log on to www.srlworld.com to view your reports online.

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CALL our Customer Care on 91115 91115

CONDITIONS OF LABORATORY TESTING & REPORTING

1. Patient identity and demographic details are crucial for a 4. SRL is committed to deliver reports on time. However, in
correct report. Kindly check your Name / Age / Mobile unforeseen circumstances such as non-availability of kits /
number & Email ID on the test requisition form and receipt. equipment breakdown / natural calamities / technical
downtime or any other unforeseen event report may be
2. In case of collected specimen(s) referred to SRL / delayed. SRL aims to keep this to minimal.
collected by patient, it is presumed that the sample belongs
to the patient named or identified in the test requisition 5. Kindly share all clinical details along with the specimen for
form. The referring Lab /collection authority is responsible accurate diagnosis. SRL may request for additional
for appropriate sample collection as per pre-requisites, its information for clinical co-relation as & when required
labelling and transport.
6. Tests once registered cannot be CANCELLED!
3. A fresh sample may be requested if the Quality or
Quantity of received sample is unsatisfactory
SRL Limited
Fortis Hospital, Sector 62, Phase VIII,
Mohali 160062

Note: This receipt is issued by the Centre & SRL limited does not ratify the contents therein. (Applicable in case of collected
specimen(s) is referred to SRL)