RECEIPT

Receipt No. : I - 20221 Name : Mr. CHANDAN KANDI (ID: 16458) Sex / Age : Male / 19 years

Payment Mode : CASH Referral : Dr. C G DOGNE Date & Time : 21/11/23, 06:34 PM

Sr. Test Name Test Price

1 Complete Blood Count (CBC) 300.00

2 Liver Function Test (LFT) 900.00

3 Creatinine - Serum 150.00

4 Widal Test (Slide Test)- Serum 200.00

5 Complete Urine Analysis (CUE) 150.00

Payable Amount (in words) : One Thousand Seven Hundred only Total : 1700.00

Payable Amount : 1700.00

Total Paid : 1700.00

Cashier's Signature