You are on page 1of 1

Bill of Supply / Tax Invoice

Name Mr.SAKSHAM SINGH Bill DRKGB/22-23/00000028


Age/Gender 30 Y 0 M 0 D /Male Visit/Reg Date 04-Jul-2022 11:17AM
Contact No 9125474005 Refered By Dr.SELF
Address RKBK GHAZIPUR,Varanasi Visit No DRKGOPV28
UHID DRKG.0000000028 Center PCC RKBK GHAZIPUR
Home Collection No Center Ph. No 7982174005
Center Address APOLLO DIAGNOSTICS, BADI
BAGHCHUNGI TULSI SAGAR , NEAR RKBK
PETROL PUMP, GHAZIPUR, UP-233001

# Service Code Service Name SAC Code Rate Total


1 PR038 PR038~COMPLETE BLOOD COUNT (CBC) 999316 250 250
2 PR105 PR105~THYROID PROFILE (TOTAL T3, TOTAL T4, TSH) 999316 500 500
Bill Amount : 750
Settlement Payment Receipt No Mode Amount
Net Bill Amount : 750
Settlement 04-07-2022 DRKGR/22-23/00000028 Cash 750
Total Paid Amount : 750
Received with thanks : Seven Hundred And Fifty Only Authorized Signature :
You can download your report from 'WWW.APOLLODIAGNOSTICS.IN' Enter user name as ITRKGA00028 and password as 8MZT5E
For any query, kindly get in touch with us on customer.care@apollodiagnostics.in or call us on 040 - 44442424

Please look for AAA+ logo on your report for Apollo assured quality

04-Jul-2022 11:17 AM Page 1 of 1

You might also like