ParticularS Unit Price SAC Amount

- -

GLUCOSE RANDOM
2 CREATININE- SERUM
130.00 9993165 130.00
200.00 999316 200.00
COMPLETE BLOOD COUNTS
PERIPHERAI SMEAR
(AUTOMATED) 360.00 999316 360.00
VIRAL MARKERR EXAMINATION (P. S) 200.00 999316 200.00
ECG- ADULT 1790.00 999316 1790.00
ECHO-CARDIOGRAM 230.000 999311 230.00
900.00 999311 900.00

Total: 3810.00

Amount Paid 3810.00

(Received with thanks a sum of Rupees Three Thousand Eight Hundred Ten only)
Payment Details

Mode Particulars Receipt Amt.

- -
Amt. Adjusted
-- *
Credit Card No. 3810.00 3810.00
XXXXXXXXXXXX5716
dated 14/03/2022.

Total 3810.00

Generated/Printed By
(V Vaneel Kumar)
Bank :ICICI TID :10404080
Batch :
CType VISA
Apprcode : 0138 Invoice: ch11587788

Registtered Office Manipal Hospital (Jaipur) Pvt. Ltd.

The Annexe,#98/2, Rustam Bagh, HAL
CIN: U8511 OKA2 01 OPTC052540 Airport Road, Bengaluru 560 017 P +91 80 4936 0300
www.manipalhospitais.com
 Unit Price SAC Amount
Particulars
- --

350.00 999316 350.00

COVID 19 TEST (RT PCR METHOD)
- -

Total 350.00

Amount Paid 350.00

(Received with thanks a sum of Rupees Three Hundred Fifty only)

Payment Details

Mode Parti culas Receipt Amt. Amt. Adjusted

- - - :

Credit Card No. 350.00 350.00

XXXKXXXXXXXx5716
dated 15/03/2022.
- - - - - -

Total 350.00

Generated/Printed By
(B Mohana Surendra)

Bank ICICI TID :10404080

Batch CType :MASTERCARD
ApprCode 0138 Invoice: ch11610358

Registered office Manipal Hospital, (Jaipur) Pvt. Ltd.

e Annexe,982Rustam Bagh,HAL Airport Road, Bengaluru 560 017 P +91 80 4936 0300| www.manipalhospitals.com
CIN U85110KA2010PTCO52540