BILL

3
Specialist OPD-V
UHID: 3129384 Dated: 16/05/23 9:06 Bill No.: OPD/N/23/54316
NAME: YUVIKA AGE: 1-7 SEX: Female
ADDRESS: 1263, PREET VIHAR COLONY, DADRI, Tel No.: 8837451305
G.B NAGAR DADRI UP
COMPANY: VIDAL HEALTH TPA PRIVATE LIMITED EMPLOYEE CODE: MUM-TA-F0348-001-000386

CONSULTANT SPECIALIST Room No.-40 Rate Amount

Dr.RUCHIRA M. GUPTA OPD Consultation Fee() 1000 1,000.00
(CONSULTANT
PAEDIATRIC-Specialist)

Net Amount: 1,000.00

Discount: 200.00
GSTIN: 09AABCK8840N1ZY SAC-999312
Payable Amount: 800.00
RECEIPT
Receipt Dt Receipt NO Receipt Type Change Returned NetAmount
16/05/2023 BV/23NO/10343 By PAYTM 800.00
Total Receipt : 800.00

Net Receivable: 0.00

Remarks: Corporte Discount

16/05/23 9:10 For Kailash Hospital & Heart Institute

* Valid till 20-May-2023 RAHUL PAL
Note:-Refund, if any, will be made against surrender of original receipt only.