GSTIN : 27AAACA5443N2Z H Reference No :

In Patient Bill - Bill of Supply

Name Syed Mohammed Naqvi Age: 61 Years UHID :ANM323246573311
Sex: Male Ill lll:ll lllJl [llH llllllllllll lll!lllllll Ill]l11 11111111111

Father Name : Syed Ghulam Naqvi

Address : 6-2, Ground Floor, Dhanammal St IP Number: ANM-1111-3444

Chennai – Perambur-11
1111 111:1111111 JmllHIHlll[ll lllllllllll

Doctor Name : Raj Kumar

Bill No :ANM-MVC-102
Speciality : Internal Care
Date : 23-07-23 Time : 08:52 PM
Ward Name : S-Ward
Bed No: 110 1111 111111111mm11u

Admission Date : 15 Jul 2023 04:33 PM

Billing Account Type : Cash Discharge Date : 23 Jul 2023 08:30 PM

SL. No Service Amount{I NR)

1 Consultatlon(9993) 7.260 00
2 Equipment(9993) 590.00
3 lnvestlgatlons{9993) 19,020.00
4 Medical Admlnlstration(9993) 700.00
5 Medical Servlces{9993) 4,620.00
6 NonInvasive Procedure{9993) 350.00
7 OT Consumables(9993) 6,140.00
8 Proflle(9993) 1,400.00
9 Room Rent(9993) 17,400.00
10 Ward Pharmacy(9993) 8,663.00

Service Amount 66.143.00

Total BiiAmount (Cash:.00 NonCash:0.00) 58,676.00

Deposit (2055084,2056608) {Cash:58,676.00,NonCash:O.OOJ 66,143.00

Net

Bill Amount In words : Sixty Six Thousand One Hundred Forty Three Only

No Tax is Payable on Reverse Charge Basis

Mr. Prakash
Generated By - Mr Prakash Cashier

Page 1of 6