YASHODA HOSPITAL VENTURE- II

PAN NO: AAAFY1599C

nor
GST No:36AAAFY1599CIZ3
BILL OF SUPPLY INVOICE NO : ICO4069011

NAME : MR VIJAY KUMARP AGE/SEX : 43 Year / M

IP NO :149178 YH No : 400492803 DOA 08-09-2023 18:09

DOD 09-09-2023 18:25
CONSULTANT Dr.PRAMOD KUMAR KUCHULAKANTI(CONSULTANT CARDIOLOGIST)
COMPANY: Care Health Insurance TOKEN NO
PT AADHAR NO:
GSTIN:
L
SAC: 9993 - Healthcare Seryices
AMOUNT
Description of Healthcare Services
MEDICAL RECORD 1,000.00
NUTRITION OPTIMIZATION AND DIETARY SERVICES 500.00
PATIENT DIET 550.00
CARDIOLOGY PROCEDURES 15,750.00
CARDIOLOGY PROCEDURES 130,000.00 alt

MEDICAL APPLANCES 40,178.00

OXYGEN 1,850.00

TOTAL AMOUNT: 189,828.00

GST: 0.00

TOTAL AMOUNT +GST: 189,828.00

 YASHODA HOSPITAL VENTURE -II
IP No : 149178
: MR VIJAY KUMAR P

Charged Amount
eription

MZDICAL RECORD 1,000.00

M3DICAL RECORD
1,000.00
Sub Total

NUTRITION OPTIMIZATION AND DIETARY SERVICES 500.00

NUTRITION OPTIMIZATION AND DIETARY Day (s) X 500.00

SERVICES
500.00
Sub Total

PATIENT DIET 550.00

550.00
1 Day (s) X
PATIENT DIET 550.00
Sub Total

CARDIOLOGY 15,750.00
CARDIOLOGY PROCEDURES YSSH 39

CORONARY ANGIOGRAM (CAG)

15,750.00
Sub Total

130,000.00
CARDIOLOGY PROCEDURES X 130000.00
5
1 Day (s)
PTCA. 130,000.00
Sub Total

40,178.00
M3DICAL APPLIANCES
6
STENT- I 40,178.00
COST OF
Sub Total

1,850. 00
7 OXY GEN 1 Day(s) X 1850.00
OXYGEN 1,850.00
Sub Total

189,828.00
Grand Total

0.00
GST

Net Amount: 189,828.00

=E===EEE==SE:=::===E:

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