Patients : JOYANL

Age : 38y DOB: Gender: Female Marital Status: Married

Father : MD. JONAB ALI GAZI Mother : MST. NURJAHAN KHATUN.
Spouse : E-mail:
Contact No. : 01767130271 National ID:
Contact person : SON Contact No: 01304218002
Address : Satkhra.
Referred By : DR. DEVIPROSAD DAS.
Consultant : DR MD. SHARIFUL ISLAM
Admitted on : 10/01/2024 Discharge Date: 19/01/2024 Patient Type: General
TH
Department : Surgery Ward Name : CABIN 5 FLOOR Bed Name: CABIN-A/C-508
Particulars Amount
DMISSION /REGISTRATION FEE 50
HEALTH CARD 50 1 50
ANESTHTIST CHARGE 1,500.00
ANESTHETIC (DR SAIFULLAHA) 1500 1 1500
BED CHARGE 9,000.00
IPD Bed Charge (CABIN-A/C-508) 1000 9 9000
EMERGENCY SERVICE 1,100.00
Dressing-Medium 100 3 300
RBS glucomiter 50 16 800
IPD CONSULTATION 1,000.00
ST
CONSULTANT 1 VISIT (DR MD. SHARIFUL ISLAM) 600 1 600
Dressing (Small) (ASST (MD. FOZLU RAHMAN) 200 2 400
IPD SERVICES 500.00
Post Operative Bed Charge 500 1 500
MEDICINE 10,102.00
Inj Moxibac 250ml 350 9 3150
Inj Oricef lgmIV 320 10 3200
Cotton (400gm-Sun-Moon Blue) 216 2 432
Surgical Urometer (Urin Measer Bag)- 450 2 900
Tab. Mucomist DT 15 20 300
Tab. Monas 10mg 16 20 320
Inj Sergel 40mg 18 100 1800
OT PROCEDURE 1,000.00
Incision & Drainage minor 1000 1 1000
SURGEON CHARGE 5,000.00
DR. MD. SHARIFUL SILAM 5000 1 5000
SURGEON TEAM 300.00
ASST (MD. FOZLU RAHMAN) 300 1 300
Total Bill: 29552.00
Net Bill: Taka Twenty Nine Thousand Five Hundred Fifty Two Only.
Pay No Pay Date Type Collector Amount Net Bill: 29552.00
11906000231 10/01/2024 Cash RAIHAN 2000.00 Total Collection: 29552.00
11906000520 19/01/2024 Cash SHIRIN 27552.00 Total Due: 0.00

“It is a computer software generated bill, so it requires no signature and seal.”