Divit Heart and Multispeciality

Hospital
Sunshine Hotel In Front Of Kargil Dhdbha, Rewa Road,
Satna(M.P.) \
Mobile : 8982557414

Name: Shantidevi Soni Address info: Appointments

Age/Gender: 63 Years Female premnagar,satna Dr. L.P. Singh

Date/Time : 10 Sep, 2023/ 05:05 PM REG.NO.: LL/9689/AUG-2023

PID : 303 MODE: Stretcher/wheelchai/walking

Billing

Particulars Date Rate (Rs) QTY Amount (Rs)

Procedures Charges
ICU 10, Sep 2023 5000.00 1.00 5000.00
Duty doctor visit 10, Sep 2023 1000.00 1.00 1000.00
ECG Charges 10, Sep 2023 200.00 1.00 200.00
RBS 10, Sep 2023 50.00 1.00 50.00
6250.00 4.00 6250.00

Bill Amount : 6250.00

Paid Amount : 6250.00
Received with Thanks: Rs. Six Thousand Two Hundred Fifty Only

Payments
Receipt No. Date Total Amount (Rs) Towards Pay Mode

INV 439 (3250.00)

RCPT 492 10, Sep 2023 10000.00 PhonePe
(Advance Rs. 6750.00)
RCPT 482 10, Sep 2023 3000.00 INV 439 (3000.00) Cash

RCPT 492 Note: Advance payment

RCPT 482 Note: Advance payment