SHREE RAM MULTISPECIALITY HOSPITAL

NEAR STATE BANK OF INDIA, CHETAKPURI, VIJAY NAGAR, GWALIOR(M.P)-474009

PATIENT NAME:- NAHAR SINGH AGE:- 36/YEAR
FATHER/HUSBAND NAME:- SEX:-MALE
MOBILE NO.:- 9713856292
DOA:- 20/07/2023 DOD: 26/07/2023
TIME:- 3:40 PM TIME:- 8:00 PM

S NO. PARTICULAR RATE QUANTITY TOTAL DISCOUNT

AMOUNT
1 REGISTRATION CHARGE 300 1 300 300
2 ICU BED 3500 6 21000 9000
3 NURSING CHARGE 500 6 3000 1000
4 DUTY DOCTOR 700 6 4200 3000
5 MD/MS DOCTOR 1500 8 12000 10000
6 DIET CHARGE 200 6 1200 1200
7 BLOOD TRANSFUSSION 1000 0 0 0
8 ECG 300 1 300 300
9 SUGAR 50 7 350 350
TOTAL 42350.00 25150.00

TOTAL DISCOUNT 17200.00

GRAND TOTAL 25150.00

ADVANCE DEPOSIT 3000.00

NET AMOUNT 22150.00
 SHREE RAM MULTISPECIALITY HOSPITAL
NEAR STATE BANK OF INDIA, CHETAKPURI, VIJAY NAGAR, GWALIOR(M.P)-474009
PATIENT NAME:- RANEE DEVI AGE:- 49/YEAR
FATHER/HUSBAND NAME:- KAMLESH KUMAR SEX:-FEMALE
MOBILE NO.:- 7987249891
DOA:- 20/07/2023 DOD: 26/07/2023
TIME:-12:25 PM TIME:- 4:00 PM

S NO. PARTICULAR RATE QUANTITY TOTAL

1 REGISTRATION CHARGE 300 1 300
2 ICU BED 3500 2 7000
3 DELUX ROOM 2500 5 12500
3 NURSING CHARGE 500 7 3500
4 CONSULTANT VISIT 1000 7 7000
4 DUTY DOCTOR 700 7 4900
6 DIET CHARGE 200 7 1400
8 ECG 300 3 900
9 SUGAR 50 7 350

TOTAL 37850.00
DISCOUNT 850.00
ADVANCE DEPOSIT 10000.00
PAID AMOUNT 27000.00
 SHREE RAM MULTISPECIALITY HOSPITAL
NEAR STATE BANK OF INDIA, CHETAKPURI, VIJAY NAGAR, GWALIOR(M.P)-474009
PATIENT NAME:- PRITI TYAGI AGE:- 40/YEAR
FATHER/HUSBAND NAME:- ADESH TYAGI SEX:FEMALE
MOBILE NO.:9399827098
DOA:- 15/12/2023 DOD: 20/12/2023
TIME:-2:37 PM TIME:- 7:00 PM

S NO. PARTICULAR RATE QUANTITY TOTAL

1 REGISTRATION 300 1 300
2 ICU BED 3500 0 0
3 NURSING CHARGE 500 0 0
4 CONSULTANT VISIT 1000 2 2000
5 CONSULTANT VISIT 1500 1 1500
6 DUTY DOCTOR 700 0 0
7 DIET CHARGE 200 4 800
8 ECG 300 1 300
9 OT CHARGE 10000 1 10000
10 HIGH ANTIBIOTIC MAD. 4500 1 4500
11 MADICEN 9500 1 9500

TOTAL 28900.00

ADVANCE DEPOSIT 15000.00

DUE AMOUNT 13900.00