13R.6.

ViSWANATHAN HasP1At PRIVAiE

LIMITED
, TRICHY -

CHENNAL TRUNK ROADMAMEALASALAI

TRICHY-6 20005
Tell No: D431-4041234
DL NO: TRT/3992/20-21: 6STIN 33AALLD465HILA

BIR OF SUPPIV

Doctor Billina umber 23366021

ReceiptNumber 2520079/1021
Patient 1D
Patient Name : MiS SUBASHINISHANMLUGANATHAN
Date & Time 01/20/2021 02:50 P

S.No Itern Name Balci o Rate TAX

30VISHIED (C.V.V) 41217129e 03/22 e0o.0o
-
NORMAL
CGST 0.00 SOST: D.00 1GSTD.00 otal Tax Armount D.00

Round Cr Amount
TotaiQuanbty:1
:Rupees Eicht Hurcired Onlyy Net Anmount 900.0D0
In Wordes

Pavment Mode: CREDIT CARD

SWAANANAT Paid Nunount 800.00

"hieve A Speedy keoovery

PAR CASH
3AA
 CUB
ATUliey
DITY UNION BANK

DR 6 VISMANATHÄN HOSPITAL PRIVATE L

THIRUCHIRAPALLI
TIRUCHIRAPPALLI
6STN:
oATE: 01-10-2021 TINE: 14:51:51
OID:0900263ACOO0245 TID:0683123A
ATCH: COC076 INVOICE: OOO628
SALE
PPMANE: Debit MasterCard
htt ttt tt** 8619 CHIP
ARD TYPE: MASTERCARD Domestic
OID AOCOOCOO041010 TC:FABE98465FF6EFBC
R :C0CO048000 TSI: E800
OUTHCODE: 786730 RN: 127409032262
AMT INR 810.00

PIN VERIFIED OK
SIGNATURE NOT REGUIRED
O 0486001131700756

AM SATISEIED WITH GOODS/SERVIC ES RECEIVED AND

AGREE TO PAY PER CARD ISSUER AGREEMENT
ttt CUSTOMER COPY A*
VERSION:7,85(23/04/2020)
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