Governi auiel guise Shyam Pradhan @¢ Slaa / DOB : 15/08/1963 age / Male 8939 1315 1027 6A AURA, 6A AACAOeal: Address: Sxa-147, glasieda, aeeaa, DL-147, BASANTINAGAR, ageisala, aeecia, Jeasie, Gal, UDITNAGAR, Raghunathapali, 769012 Uditnagar, Sundergarh, Odisha, 769012 8939 1315 1027 ro mI 1947 help @uidai.gov.in www.uidai.gov.inBangalore - 560 01 Mon «Sat: 8.00am to 8.09pm, ‘Sun: 9,00am to §.00pm_ NN-2: NH H #25614, Bommasandra, Bangaloro - 560 099 -INDIA ‘Mon - Sat: 8.00am to 60pm ‘Sun: Closed Website: Bangalore - 560 038 - INDIA Mon = Sat 9:00 am to 7:30 pm Sun :9100.am to £00 pm NN -4: No, 63, Noxt to Royal Moenaks Bannerghatta Road, Hulimavy Bangalore - $60 076 - INDIA ‘Mon - Sat 8,00am to 7.00pm, ‘Sun: 9.00am to 5.00pm f NARAYANA NETH RALAYA www.narayananethralaya.org Receipt Cum 1N2\22-23INI55738 tC 10/Sep/2022 02:17 PM | |Patient Name MR. SHYAM PRADHAN Patient ID | 1025034 | AgelSex - DOB (58 Yrs /M - 31/Jan/1964 Consultant [Or.SushmaTejwani | \Received By |UPI - Department Glaucoma PAN Number /AAQFN7449C Iestwo ___ |29AAQFN7449C12S SAC 999316 | - oe {sr.No, Service | Name eas eee —_ Net Amt. i SUAL FIELDS : ONE EYE OPD103 Perea 1000.00) 2 Optical Coherence Tomography (OCT) : Both Eyes OPDOTS_ 2750.00 Net Amount In (Words) Rupees Three Thousand Seven Hundred And Total Amount — 3750.00) Fifly Only. Ne imaunt nl 'Pai id Amount by Pa nt 3750.00 Propared By FOR : NARAYANA NETARALAYA Authdtizea Signatory Saritha1241C, Chord Road NN- 2: NH Health City . tan Road an «Na EE Rajaji Nagar, tst'R’ Block # 25S/A, Bommasandra, Hosur Road toad, 'o Royal Meenakshi Mal Bangalore - 560 010+ INDIA Bangalore - $60 099 INDIA NARAYANA ‘Mon - Sat: 8 00am to 8.00pm, Mon - Sat: 800m to 6 00pm 560 038 INDIA METH RAUAYA ‘Sun: 9. 00am 1 § 00pm Sun: Closed Hon «Sat :9:00 am to 7:30 pm ‘Mon - Sat 8 00am to 7.00pm, Goce ‘Sun : 9:00 am to 1:00 pm ‘Sun: 9.00am to 00pm oe Website: www.narayananethralaya.org Receipt Cum Bi |N2\22-23\O0PD\55642 a Date 10/Sep/2022 12:52 PM Patient Name JMR. SHYAM PRADHAN | |Patient ID 1025034 ‘Age/Sex - DOB |58 Yrs /M - 34/Jan/1964 {Consultant Dr.Jyoti Mat [Received By _ uplS~™*~*~*~—sSCepartment | Neur0-Ophthalmology [PAN Number |AAQFN7449C GSTNO |29AAQFN7449C1ZS “SAC 999312 —_—____l___ ServiceName : Net Amt. NEURO - OPHTHALMOLOGY (CROSS CONSULTATION) OPD148 200.00) Net Amount In (Words) Rupees Two Hundred Only. [Total Amount aa 200.00] 'Net Bill Amount 200.00 [Paid Amount by Patient 200.00 Total time for patient evaluation may be 2 to 3 hours, Please bear with us. Consultation fees is inclusive of one revisit within 7 days. Prepared By FOR : NARAYANA NETHRALAYA MANJIT KUMAR . Authorized Signatory@ NN 1: 421/C, Chord Road NN-2:NH Health City NN 3: 4/1, 1st Main Road, NN 4: No. 6 Raja Nagar, fst R’ Block ££ 258/A, Bommasandra, Hosur Road Defence Colony, 100 Ft. Read, Next to Royal Meenakshi Mal Bangalore - $60 010- INDIA Bangatore» $60 099 INDIA Indiranagar Bannerghatta Road, Hulimavw “2 NARAYANA ‘Mon = Sat: 8. 00am to 8 00pm, ‘Mon - Sat: 9 00am to 6.00pm Bangalore - 560 038 - INDIA Bangalore -5€0 076 -INDIA NETHRALAYA Sun: 9.00am to 5 00pm Sun. Closed ‘Mon = Sat: 9 00.am to 7:30 pm Mon - Sat: 8.00am to 7.00pm, ieee Sun $00 am to 1.00 pm Sun: 9.00am to 5 00pm ———— Website: vReeaiptagemarBilhralaya.org |N2\22-23\0P 155444 ___Bill Date 10/Sep/2022 10:55 AM Patient Name IMIR. SHYAM PRADHAN Patient ID 025034 Age/Sex - DOB 58 Yrs /M - 31/dan/1964 Consultant ~|Dr.Nandini C Received By ‘UPI ___ Department ‘Cornea PAN Number |AAQFN7449C : ‘GsTNO———__—[29AAQFN7449C1ZS | SAC joos12 dL : J Sr.No. Service Name ' Net Amt. 1 CONSULTATION FEES OPD008 600.00 Net Amount In (Words) Rupees Six Hundred Only Total Amount 600.00 Net Bill Amount 600.00 Paid Amount by Patient 600.00 Total time for patient evaluation may be 2 to 3 hours, Please bear with us. Consultation fees is inclusive of one revisit within 7 days. Prepared By FOR : NARAYANA NETHRALAYA INDUMATHI Authorized SignatorySizer aan INCOME TAX DEPARTMENT ? “ SHYAM PRADHAN KANDRA PRADHAN 15/08/1963 Permanent Account Number CEWPP2725P ae fre Aben Signature GOVT. OF INDIA 01092013