MEDICAL BILL RECEIPT

Receipt Number: 354

Date: 26-08-2022

Patient Information:
Name: Mudavath Lakshmi Prasanna
Street Address: Deverakonda
Reason: Maternity Delivery

Code Description of Qty Rate Amount

Services/Medicine/Products
1 Second Advance Amount paid 20000/-

2 Lab charges 1400/-

3 Medical charges 12714/-

Total: 34,114/-
Amount Paid: 34,114/-

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