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  • Hospital Bill Format4934734 - 10-02-2024

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    NJ JAISWAL PC
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    The bill summary is for patient Munuram Chouhan who was admitted to Shiv Hospital on June 1, 2023 for acute febrile illness and discharged on June 4, 2023. Dr. Shalabh Agrawal treated the patient under the general medicine specialty. The total bill amount is Rs. 22,400 which includes Rs. 8,500 each for 1 day in the ICU without ventilator under preauthorization and enhancement, Rs. 3,300 for 1 day in HDU under enhancement, and Rs. 2,100 for 1 day in the routine ward under enhancement.

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    Hospital Bill Format4934734_10-02-2024

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    The bill summary is for patient Munuram Chouhan who was admitted to Shiv Hospital on June 1, 2023 for acute febrile illness and discharged on June 4, 2023. Dr. Shalabh Agrawal treated the patient under the general medicine specialty. The total bill amount is Rs. 22,400 which includes Rs. 8,500 each for 1 day in the ICU without ventilator under preauthorization and enhancement, Rs. 3,300 for 1 day in HDU under enhancement, and Rs. 2,100 for 1 day in the routine ward under enhancement.

    Copyright:

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

    Hospital Bill Format4934734 - 10-02-2024

    Uploaded by

    NJ JAISWAL PC
    The bill summary is for patient Munuram Chouhan who was admitted to Shiv Hospital on June 1, 2023 for acute febrile illness and discharged on June 4, 2023. Dr. Shalabh Agrawal treated the patient under the general medicine specialty. The total bill amount is Rs. 22,400 which includes Rs. 8,500 each for 1 day in the ICU without ventilator under preauthorization and enhancement, Rs. 3,300 for 1 day in HDU under enhancement, and Rs. 2,100 for 1 day in the routine ward under enhancement.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    Shiv Hospital And Diagnostic Centre - 386

    Final Bill Summary

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


    P85336/CK6434841-
    22

    Beneficiary card No: xxxxxFQ61 IPD No: NA

    Beneficiary Home CHHATTISGARH Date of Admission: 01-06-2023


    State:

    Patient's Name: Munuram Chouhan Date of Discharge: 04/06/2023 13:35

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


    Name:

    Hospital id: HOSP22P85336 Case No CASE/PS6/HOSP22P8


    5336/CK6434841

    Final Diagnosis: NA

    Package/Procedure Description Amount

    Acute febrile illness(MG001A) 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

    HDU 3300 1 Enhancement 3300

    Routine Ward 2100 1 Enhancement 2100

    Grand Total 22400.0

    Note: This is system generated bill, doesn't require signature and can only be used for AB-
    PMJAY Scheme
    CHH006907 , Sat, Feb 10 2024 19:10:03

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