Department of Pulmonary & Critical Care

Medicine
Pt. B.D. Sharma Postgraduate Institute of Medical Sciences,
Rohtak

INVOICE
Name of Hospital: Invoice No: 05 Date: 27-Oct-22
Pandit Bhagwat Dayal Sharma Post
Graduate Institute of Medical Sciences,
Receiver Ref: Preventing Adverse Cardiac Events
Rohtak in COPD (PACE in COPD)
Site Address
Dr. Dhruva Chaudhry
Department of Pulmonary and Critical
Care Medicine, Pandit Bhagwat Dayal
Sharma Postgraduate Institute of Medical
Sciences, Rohtak, Haryana, India -124001

Invoice to:
Name: George Institute for Global Health
Address: 308, Third Floor, Elegance
Tower, Plot No.8, Jasola District Centre
New Delhi- 110025
S. No Description of Service Amount (INR)

1. Fee for Study Coordinator and Site Investigator- (50000 x 3 months)- 3 rd 150000
installment (Aug, Sep & Oct-2022)

2. Overheads (10 %) 15000

Total 165000
Amount Chargeable (in words): One lakh sixty-five thousand rupees only
Name: PGIMS, Rohtak Account Number: 10230616921
IFSC Code: SBIN0004735 TAN: RTKP02490F