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THE SIGHT AVENUE

243 P, Sector 38 Near Bakhtawar Chowk Haryana- 122001


Mobile: +91 7900070040 / 9560545511 Phone: 011-4666 0666
Web :-www.thesightavenue.com E-mail -enquiry@thesightavenue.com

SUMMARY OF BILL

BILL NO. : SAG/23-24/IPD-01155 BILL DATE : 26-Feb-2024


IPD NO : SAG/23-24/IPDR-01230 MRD NO. : SAG-007399
:
PATIENT NAME Mrs NUTAN PRABHA ADMISSION DATE : 26-Feb-2024
AGE/GENDER : 45 Yrs / Female
DISCHARGE DATE : 26-Feb-2024

ADDRESS : KAPASHERA ROOM TYPE : GENERAL


CONTACT NO : 8368237201 WARD : 201
SURGEON NAME : Dr. Suwarn Chetan BED NO : 201
PROCEDURE NAME : LEFT EYE LE MICS WITH PCIOL DONE UNDER TA

PANEL / TPA NAME : CREDIT TO HEXA

PARTICULARS RATE AMOUNT

IMPORTED FOLDABLE MICS MONOFOCAL INTRAOCULAR LENS 35,000.00 35,000.00


(BIOTEC/ ACRIOL)

NET AMOUNT 35,000.00


DISCOUNT 10,000.00
NET PAYBLE 25,000.00

CURRENT RECEIPT 25,000.00


BALANCE AMOUNT TO PAY 0.00

IN WORDS : RUPEES TWENTY-FIVE THOUSAND ONLY

Current Receipt Details:

Wallet : 25,000.00 ( Wallet : PATIENT WALLET | Transaction ID : | Remark: )

CREATED BY

The Sight Avenue Gurugram anand shanker SIGNATURE OF CARD HOLDER / ATTENDENT/PATIENT

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