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Agilus Diagnostics Ltd-Indore

Gate No 2, Residency Area, Opp. St. Raphaels School,


Indore - 452001, India
Ph: 0731 2490008

Customer Copy

Receipt No : ICR290230024081 Accession No :0290WI000248 Date : 02/09/2023 Receipt Date : 02/09/2023

Received with thanks from : HIMANSHU CHOUHAN Gender : MALE Age : 21

Prescribed by : PRE EMP WITH DR CONSUMLTATION - BRIDGESTONE


Email : HIMANSHU.CH529@GMAIUL.COM , Mobile No. : 6260761143

Test Code Test Description Amount

HM3648 PRE EMP WITH DR CONSUMLTATION - BRIDGESTONE 410.00


Discount Amount(-) : 0.00
Other Charges : 0.00

Total : 410.00
Balance : 0.00 Advance : 410.00
Rupees Four Hundred Ten Only.
By CASH
For Agilus Diagnostics Ltd-Indore
Report Delivery Charges: _________________ Final Report Expected on : 07-Sep-2023 02:30:00 PM

Your User ID is HIMAM290502290.


Log on to www.agilusdiagnostics.com to view your reports online.

Download Agilus Diagnostics app on your mobile device by using QR Authorized Signatory
Code.
CALL our Customer Care on 91115 91115

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