Shiv Hospital And Diagnostic Centre - 386

Final Bill Summary

Bill No: 22CASE/PS6/HOSP22 Bed No: NA

P85336/CK6322472-
22

Beneficiary card No: xxxxxL8D4 IPD No: NA

Beneficiary Home CHHATTISGARH Date of Admission: 10-05-2023

State:

Patient's Name: Sanju Sah Date of Discharge: 13/05/2023 20:00

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

Name:

Hospital id: HOSP22P85336 Case No CASE/PS6/HOSP22P8

5336/CK6322472

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 1 Enhancement 2100

Routine Ward 2100 1 Enhancement 2100

Grand Total 21200.0

Note: This is system generated bill, doesn't require signature and can only be used for AB-
PMJAY Scheme
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