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  • Hospital Bill Format4892872 - 10-02-2024

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    NJ JAISWAL PC
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    Samir Kumar Donde was admitted to Shiv Hospital on May 24, 2023 and discharged on May 26, 2023 under the care of Dr. Shalabh Agrawal for hypocalcemia. The final bill for his treatment totaled Rs. 19,100 which included 1 day each in the ICU without a ventilator at Rs. 8,500 per day and 1 day in the routine ward at Rs. 2,100 under an enhancement package for hypocalcemia.

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    Hospital Bill Format4892872_10-02-2024

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    Samir Kumar Donde was admitted to Shiv Hospital on May 24, 2023 and discharged on May 26, 2023 under the care of Dr. Shalabh Agrawal for hypocalcemia. The final bill for his treatment totaled Rs. 19,100 which included 1 day each in the ICU without a ventilator at Rs. 8,500 per day and 1 day in the routine ward at Rs. 2,100 under an enhancement package for hypocalcemia.

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    © All Rights Reserved
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    7 views2 pages

    Hospital Bill Format4892872 - 10-02-2024

    Uploaded by

    NJ JAISWAL PC
    Samir Kumar Donde was admitted to Shiv Hospital on May 24, 2023 and discharged on May 26, 2023 under the care of Dr. Shalabh Agrawal for hypocalcemia. The final bill for his treatment totaled Rs. 19,100 which included 1 day each in the ICU without a ventilator at Rs. 8,500 per day and 1 day in the routine ward at Rs. 2,100 under an enhancement package for hypocalcemia.

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    © All Rights Reserved
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    of 2

    Shiv Hospital And Diagnostic Centre - 386

    Final Bill Summary

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


    P85336/CK6390041-
    22

    Beneficiary card No: xxxxxAYPM IPD No: NA

    Beneficiary Home CHHATTISGARH Date of Admission: 24-05-2023


    State:

    Patient's Name: Samir Kumar Donde Date of Discharge: 26/05/2023 18:30

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


    Name:

    Hospital id: HOSP22P85336 Case No CASE/PS6/HOSP22P8


    5336/CK6390041

    Final Diagnosis: NA

    Package/Procedure Description Amount

    Hypocalcemia (MG060B) 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

    Grand Total 19100.0

    Note: This is system generated bill, doesn't require signature and can only be used for AB-
    PMJAY Scheme
    CHH006907 , Sat, Feb 10 2024 19:07:40

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