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RECEIPT

I - 112162

Receipt No. : I - 112162 Name : Mrs. D VANAJA (ID: 112375) Sex / Age : Female / 50 years

Payment Mode : ADVANCE Referral : SELF Date & Time : 01/04/23, 04:07 PM

Sr. Test Name Test Price

1 COMPLETE BLOOD COUNT (CBC) 300.00

2 ERYTHROCYTE SEDIMENTATION RATE (ESR) 100.00

3 GLUCOSE-FASTING-PLASMA 70.00

4 RHEUMATOID FACTOR (RA TEST)- SERUM 400.00

5 LIPID PROFILE 600.00

6 COMPLETE URINE ANALYSIS / AUTOMATED (CUE)- URINE 150.00

7 VITAMIN-B12-SERUM 1000.00

8 1, 25-DIHYDROXY VITAMIN D3 SERUM 3800.00

9 THYROID PROFILE - TOTAL 450.00

Payable Amount (in words) : Six Thousand Eight Hundred Seventy only Total : 6870.00

Payable Amount : 6870.00

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