APOLLO HOSPITALS EMERGENCY 1066

plot no, 251, Sainik School Rd, Unit 15, Gajapati Nagar
Bhubaneswar, Odisha 751005
Phone No : 0674-6661096 / 0674-66610609

INPATIENT BILL
PATIENT DETAILS IP No. : 97101 ID No. : 0000246611

Sabita Pradhan Bill No. : ICR33504

AT- SanaPatasundarpur Bill Dt./Time : 26-Jul-2022 10:06 AM

Cuttack
Odisha-754010 Admission Dt./Time : 06-Jul-2022 7:22 AM

Discahrge Dt./Time : 26-Jul-2022 10:06 AM

DETAILS
Service Name Amount(Rs.)

ROOM RENT 42,000.00

PHARMACY 22,765.54
MEDICAL EQUIPMENT 8,000.00
CONSULTATIONS 6,400.00
CONSUMABLES 8,118.00
INVESTIGATIONS 12,860.00
FULL BODY CHCK 5,179.00

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Total : 89143.54
: 0.0
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Discount
Total Tax : 16045.74
In Words : Sum Total : 110368.28
One Lakh ten thousand three hundred sixty eight only ---------------------------------------------------

Refundable Deposit As On 26-Jul-2022 10:06 AM Rs.9245

This is a computer generated statement and requires no signature.

This Receipt is valid for an employer or insurer, who is contractually obligated to reimburse the medical expenses

For billing and general enquiries, please mail: customercare_bhubaneswar@apollohospitals.com

©Apollo Hospitals, Bhubaneswar 2013, All Rights reserved