KAKARLA MULTISPECIALITY DENTAL HOSPITAL

TIRUPATI-517501

Estimation Certificate
To whom so ever it may concern
OP No: kdh 470

This is to certify that Sri N.B.NAIDU is undergoing treatment for chronic irreversible
pulpits and generalised Periodontitis.

The procedure is root canal treatment irt 26 27 36 44 45 47, Flap surgery 2

quadrants, and oral prophylaxis

The Approximate expenditure for above procedure

Particulars Amount

1.opg-pre opg and post opg 2x150=300/-

2.iopa irt 26 27 44 45 47 36 18x40=720/-

3.posterior rct irt 26 27 44 45
6x1500=9000/-
47 36
4.flap surgery irt 2 quadrants 2x800=1600/-

5.oral prophylaxis 1x300=300/-

6. Tcr irt 24 25 34 35 11 21 14 15 8x150=1200/-

TOTAL 13,120/-

It may be noted that the actual may vary from the estimates in accordance with the
Additional procedures / tests conducted extra materials used.
Signature of Patient Signature of Doctor