Master ID: :2022004477 IP FINAL BILL

Patient name: P.MOGILI Master ID: :2022004477 Ag e : 58 Sex : M

Address
Consultant Dr.P. Surender Reddy M.S. Ortho
S/O : NARSAIAH
Vill: -----------
Mdl;----------- Admission on: 08-12- 2022
DIST: MOLUGU Discharge on: 10-12-2022
Telanagana
Cell;

Particulars Amount

Surgeon charges 15,000.00

Operation theater charges 5000.00

Bed Charges 3000.00

Anastatist charges 3000.00

Investigation 3500.00

Medicine charges 1570.00

Assistant Charges 2000.00

NET 33,070.00
AMOUNT

Signature
 DISCHARGE SUMMERY

Name of the Patient :S.SAMAKKA D/o GANAPATHI Age : 26 Sex : Female

D.O.A : 15/03/2022 D.O.S : 16/03/2022 D.O.D 17/03/2022

Address: vil , ELKATURTHYI , MDL : ELKATURTHYI DIST: Warangal

Doctors Name : P.Surender reddy M.S (Ortho)

Diagnosis: OLD FRACTURE BOTH BONE LEG INFECTED
Chief complaints : C/o pain ,Leg
H/o of illness : Patinet had a h/o RTA 1Years back took patient now have infected both
bones

INVESTIGATIONS : ENCLOSED

TREATMENT GIVEN : implants removed done under anesthesia in ot under aseptic

condition

INJ: FINCCEFF 1G IV BD
INJ: AMIKACIN - 500 IV BD

INJ: DYNAPAR IM BD 3 DAYS

INJ: PANTOP IV BD
COURSE IN THE HOSPITAL: Immediately after surgery patient shifted to post operative ward
to 1 day and later she was shifted to special room and responded well to treatment and
hospital stay is uneventfull condition at the time of discharge satisifaction

ADVICE AN DISCHARGE:

Tab : DALACIN-C (20) BD

Tab : ACCEPURE -SP (20) BD

Tab : PANATPURE -40 (10) OD

Tab: LIMCE (10) TID

Tab: A TO Z (10) OD

Review ofter 5 days for ASD & after 10 days for s/r
 EMERGENCY CERTIFICATE

Sn:01 Master ID:2021004677

This is certify That Mr. /Mrs. S.SAMAKKA D/O GANAPATHI Age: 26 female was

Admitted in this Hospital on 15/03/2022 with

: OLD FRACTURE BOTH BONE LEG INFECTED in an emergency condition Under Dr.P.SURENDER
REDDY M.S ORTHO He / She has been discharged on 17/03/2022 His/Her admission was done on an
emergency Basis.

Signature
 ESSENTIALITY CERTIFICATE
S.NO 01 Master ID:2021004677

I Cretify that Mr S.SAMAKKA D/o GANAPATHI Age 26 Female Was under my treatment for : OLD
FRACTURE BOTH BONE LEG INFECTED From 15/03/2022 to 17/03/2022 and below
investigations /procedures medicine Prescribed by me in this connection were essential for
recovery/prevention of serious deterioration of the condition of the patient.The medicines are not stocked
in the hospital for supply to patient and do not include proprietary preparation for which cheaper
substances of equal therapeutic value are available or preparation which are primarily food, toiletries or
disinfectants.

Hospital & Consultant bills 28,000.00

Investigation Bills 3500.00

Pharmacy Bills 1570.00

_________________

TOTAL 33070.00

Signature
 Date 17-03-2022

Master ID:2021004677 ADVANCE CASH RECEIPT

Patient name : S.SAMAKKA Master ID:2021004677 Age: 26 Sex : F

18,000.00

Recived Amount OF : Eightin thousand rupees only

Signature
 Date 15-03-2022

Master ID:2021004677 CASH RECEIPT

Patient name : S.SAMAKKA Master ID:2021004677 Age: 26 Sex : F

10,000.00

Recived Amount OF : Ten thousand rupees only

Signature