BILL OF SUPPLY

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Hospital No : MH011767479 OPD No : O16000110307
Name : MASTER VIRAJ SAMBAR OPD Date : 19/03/2024
Age/ Sex : 2/Male Bill No : MBP23OCS0084135
Address : Royal Oarchid Flat No.302 Mohan Nagar Bill Date : 19/03/2024 09:46AM
Co-op Housing Society Department : PLASTIC SURGERY MBP
Doctor : Dr Swaminathan Ravi
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S.No. Particulars Unit Price SAC Amount
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1 CONSULTATION OPD 1 900.00 999311 900.00
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Total 900.00
Amount Paid 900.00

(Received with thanks a sum of Rupees Nine Hundred only)

Payment Details
Sr No Mode Particulars Receipt Amt. Amt. Adjusted
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1 UPI - 900.00 900.00

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Total 900.00
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Generated/Printed By
(Shruti Das)