INVOICE / MONEY RECEIPT

Name : NANDINI MONDAL Lab No. : 012311070101

Age/Gender : 13 Y Delivery Mode. : Self
Mobile No. : Reg. Date : 07-Nov-2023 15:26:01
Reg No. : 1075474 Panel Name : MALIGRAM
Refered By : Dr. S. KAR Address :
Sr.No Code Particulars Department DeliveryDate Amt ( Rs. )
1 URINE ROUTINE EXAMINATION CLINICAL PATHOLOGY 08-Nov-2023 110.00
2 URINE FOR CULTURE & SENSITIVITY MICROBIOLOGY 11-Nov-2023 200.00
3 Malaria(Pf. & Pv.) Dual Antigens HAEMATOLOGY 08-Nov-2023 500.00
4 CBC (Complete Blood Count) HAEMATOLOGY 08-Nov-2023 250.00
5 Glucose Fasting BIOCHEMISTRY 08-Nov-2023 70.00
6 LFT (LIVER FUNCTION TEST) BIOCHEMISTRY 08-Nov-2023 650.00
7 TSH - Thyroid-Stimulating Hormone HORMONES 08-Nov-2023 300.00
8 Widal Test SEROLOGY 08-Nov-2023 140.00

* This is a Computer generated document, dose not require any signature.

Created By : MALIGRAM Print DateTime : 08-11-2023 12:26:33

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 INVOICE / MONEY RECEIPT

Name : NANDINI MONDAL Lab No. : 012311070101

Age/Gender : 13 Y Delivery Mode. : Self
Mobile No. : Reg. Date : 07-Nov-2023 15:26:01
Reg No. : 1075474 Panel Name : MALIGRAM
Refered By : Dr. S. KAR Address :
Sr.No Code Particulars Department DeliveryDate Amt ( Rs. )
9 CRP (C-Reactive Protein) SEROLOGY 08-Nov-2023 330.00

Total : 2550.00

Amount Paid : 2550.00

Received with thanks an amount of (Rupees)Two Thousand Five Hundred Fifty Only
(Full Payment Before Investigation)

* This is a Computer generated document, dose not require any signature.

Created By : MALIGRAM Print DateTime : 08-11-2023 12:26:33

Page 2 of 2