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  • Hospital Bill Format4087259 - 10-02-2024

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    NJ JAISWAL PC
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    Munna Sharma was admitted to Shiv Hospital on November 21st, 2022 and discharged on November 26th, 2022 for treatment of acute gastroenteritis with severe dehydration under Dr. Shalabh Agrawal. The final bill for Munna Sharma's 5 day hospital stay was Rs. 25,400 which included 1 day each in the ICU without a ventilator at Rs. 8,500 per day and 4 days in the routine ward at Rs. 2,100 per day.

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    Hospital Bill Format4087259_10-02-2024

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    Munna Sharma was admitted to Shiv Hospital on November 21st, 2022 and discharged on November 26th, 2022 for treatment of acute gastroenteritis with severe dehydration under Dr. Shalabh Agrawal. The final bill for Munna Sharma's 5 day hospital stay was Rs. 25,400 which included 1 day each in the ICU without a ventilator at Rs. 8,500 per day and 4 days in the routine ward at Rs. 2,100 per day.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    5 views2 pages

    Hospital Bill Format4087259 - 10-02-2024

    Uploaded by

    NJ JAISWAL PC
    Munna Sharma was admitted to Shiv Hospital on November 21st, 2022 and discharged on November 26th, 2022 for treatment of acute gastroenteritis with severe dehydration under Dr. Shalabh Agrawal. The final bill for Munna Sharma's 5 day hospital stay was Rs. 25,400 which included 1 day each in the ICU without a ventilator at Rs. 8,500 per day and 4 days in the routine ward at Rs. 2,100 per day.

    Copyright:

    © All Rights Reserved
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    of 2

    Shiv Hospital And Diagnostic Centre - 386

    Final Bill Summary

    Bill No: 22CASE/PS5/HOSP22 Bed No: NA


    P85336/CK5636749-
    22

    Beneficiary card No: xxxxxPRBD IPD No: NA

    Beneficiary Home CHHATTISGARH Date of Admission: 21-11-2022


    State:

    Patient's Name: Munna Sharma Date of Discharge: 26/11/2022 18:50

    Treating Doctor Dr Shalabh Agrawal Speciality: General Medicine(MG)


    Name:

    Hospital id: HOSP22P85336 Case No CASE/PS5/HOSP22P8


    5336/CK5636749

    Final Diagnosis: NA

    Package/Procedure Description Amount

    Acute gastroenteritis with severe dehydration(MG009B) 8500

    Ward Wise Breakup:

    Ward Name Amount Per Day No.of Days Type Total Amount

    ICU-Without 8500 1 Preauth 8500


    Ventilator

    ICU-Without 8500 1 Enhancement 8500


    Ventilator

    Routine Ward 2100 4 Change Of Ward 8400

    Grand Total 25400.0

    Note: This is system generated bill, doesn't require signature and can only be used for AB-
    PMJAY Scheme
    CHH006907 , Sat, Feb 10 2024 19:01:28

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