Kunraghat , Gorakhpur-273008, Uttar Pradesh, India

Phone :0551-2205501, Email :onlineappointmentaiimsgkp@gmail.com

Online Appointment Slip & Cash Receipt

CR No. 999182400036597 DATE&TIME 06-Jan-2024 10:16:19

TRANSACTION ID 1544737690829 NAME POOJA SINGH

OBSTETRICS AND
GYNECOLOGY (DR

es
AGE/SEX 30 YR/F DEPARTMENT
PRIYANKA SINGH

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SISODIA)

en
APPOINTMENT FOR 09-Jan-2024 12:32

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SERVICE RATE(Rs.) QTY DISC.(Rs.) AMOUNT(Rs.)

lS
NEW DEPARTMENT VISIT-(NEWV) 10.00 1 0.00 10.00

PATIENT REGISTRATION CARD-

(PATREGCARD)
20.00 1 ca
i 0.00 20.00
ed
TOTAL AMT :30.00, BILLED AMT :30.00, TAXES/GATEWAY CHARGES :0.00, COLLECTED AMT :30.00
M

NOTE : AMT,PATIENT SHARE AND CREDIT SHARE ARE IN RS. , MODE OF PAYMENT : UPI, PAYMENT
of

DETAILS : 1544737690829
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