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Kunraghat , Gorakhpur-273008, Uttar Pradesh, India

Phone :0551-2205501, Email :onlineappointmentaiimsgkp@gmail.com

Online Appointment Slip & Cash Receipt


CR No. 999182200374871 DATE&TIME 22-Feb-2022 05:33:00

TRANSACTION ID 0097911589822 NAME MANISH GUPTA

PHYSICAL MEDICINE AND


AGE/SEX 21 YR/M DEPARTMENT REHABILITATION(DR

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AMIT RANJAN)

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APPOINTMENT FOR 22-Feb-2022 11:32

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SERVICE RATE(Rs.) QTY DISC.(Rs.) AMOUNT(Rs.)

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NEW DEPARTMENT VISIT-(NEWV) 10.00 1 0.00 10.00

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PATIENT REGISTRATION CARD-

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20.00 1 0.00 20.00
(PATREGCARD) i
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TOTAL AMT :30.00, BILLED AMT :30.00, TAXES/GATEWAY CHARGES :0.00, COLLECTED AMT :30.00
NOTE : AMT,PATIENT SHARE AND CREDIT SHARE ARE IN RS. , MODE OF PAYMENT : DC, PAYMENT
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DETAILS : 0097911589822
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