Gouri Devi Hospital & Research Institute

(A UNIT OF RAHUL FOUNDATION)

G.T.Road,Rajbandh,Durgapur-713212,West Bengal
Help Line:8001002222/8001003333,Fax:2520036
L/BDWN/CE/957

Bill Particular Charges Report

05/09/2023
From Date: 01/08/2023 To: 31/08/2023

Bill Date Bill Particular Sub Particular Pateint Name Age/Sex Doctor Bill Type Pt. Category Sub Category Time No. Of.Times Amount

09/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 9:49:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
09/08/2023 1 300.00
10/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 9:49:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
10/08/2023 1 300.00
11/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 9:32:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
11/08/2023 1 300.00
12/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 10:24:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
12/08/2023 1 300.00
13/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS

1
 Bill Particular Charges Report
05/09/2023
From Date: 01/08/2023 To: 31/08/2023

Bill Date Bill Particular Sub Particular Pateint Name Age/Sex Doctor Bill Type Pt. Category Sub Category Time No. Of.Times Amount

200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 9:52:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
13/08/2023 1 300.00
14/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 21:17:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
14/08/2023 1 300.00
15/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 10:51:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
15/08/2023 1 300.00
16/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 21:55:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
16/08/2023 1 300.00
17/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 21:16:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
17/08/2023 1 300.00
18/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 9:11:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
18/08/2023 1 300.00

2
 Bill Particular Charges Report
05/09/2023
From Date: 01/08/2023 To: 31/08/2023

Bill Date Bill Particular Sub Particular Pateint Name Age/Sex Doctor Bill Type Pt. Category Sub Category Time No. Of.Times Amount

19/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 9:13:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
19/08/2023 1 300.00
20/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 9:00:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
20/08/2023 1 300.00
21/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 21:13:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
21/08/2023 1 300.00
22/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 10:09:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
22/08/2023 1 300.00
27/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 21:55:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
27/08/2023 1 300.00
28/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 21:55:00 1 300.00
INDIA PVT LTD

3
 Bill Particular Charges Report
05/09/2023
From Date: 01/08/2023 To: 31/08/2023

Bill Date Bill Particular Sub Particular Pateint Name Age/Sex Doctor Bill Type Pt. Category Sub Category Time No. Of.Times Amount

HOSPITAL SERVICE 1 300.00

28/08/2023 1 300.00
29/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 11:23:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
29/08/2023 1 300.00
30/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 21:40:00 1 300.00
INDIA PVT LTD
HOSPITAL SERVICE 1 300.00
30/08/2023 1 300.00
31/08/2023
HOSPITAL SERVICE
NIMBUS AIR MATRESS
200208 Mrs Jyotsna Sarkar 47 Years/F IPD INSURANCE MEDIASSIST 11:23:00 1 300.00
INDIA PVT LTD
201089 Mrs Rumpa Sarkar Das 33 Years/F IPD GENERAL GOP 11:05:00 1 300.00
CASH PAYING
HOSPITAL SERVICE 2 600.00
31/08/2023 2 600.00

Bill Particular wise Collection: 20 6,000.00