GSTIN : 9A2145505960613 INPATIENT BILL- BILL OF SUPPLY Reference No :
Name: Mr. GHULAM GHOUSE Age :62Yr
Sex: Male Father Name : GHULAM ABBAS Address :12-1-1/A/2B Ground Floor Shalibanda Cross Road Opp Royal Restro ,Hyderabad ,Telangana,INDIA. DOCTOR NAME : M SRINIVAS RAO Bill No :AHB-CS-41799 SPECIALITY : CARDIOLOGIST M1 WARD:PRIVATE 4TH B2 Date: 8 JAN 2021 Time:16:33:21 BED NO :4052(private)
BILL ACCOUNT TYPE : CASH Date OF Admission : 2 JAN 2021