APOLLO HOSPITALS EMERGENCY 1066

58, Canal Circular Rd, Kadapara, Phool Bagan, Kankurgachi, Kolkata, West
Bengal 700054
For Appointments and Enquiries, Please Call: 033 4420 2122
E-mail Us: infokolkata@apollohospitals.com

INPATIENT BILL
PATIENT DETAILS IP No. : 87203 ID No. : 0180295676

Anusaya Das Bill No. : ICR64208

SN Banerjee Bill Dt./Time : 30-Nov-2023 10:06 AM

Road
Kolkata Admission Dt./Time : 29-Nov-2023 7:22 AM
West Bengal
Discahrge Dt./Time : —-----

DETAILS
Service Name Amount(Rs.)

ROOM RENT 18,000.00

PHARMACY 12,775.36
MEDICAL EQUIPMENT 3,000.00
CONSULTATIONS 2,400.00
CONSUMABLES 3,119.00
INVESTIGATIONS 3,860.00

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Bill Amount 43,154.36

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In Words :
Fourty Three Thousand Hundred Forty Three Rupees and Fifty Four Paise.

Refundable Deposit As On 28-Nov-2023 10:05 AM Rs.5000

This is a computer generated statement and requires no signature.

This Receipt is valid for an employer or insurer, who is contractually obligated to reimburse the medical expenses covered by MediSave
and/or MediShield.

For billing and general enquiries, please mail: customercare_kolkata@apollohospitals.com

© Apollo Hospitals, Kolkata 2023, All Rights reserved