APOLLO HOSPITALS

Plot # 13, Off Uran Road, Parsik Hill Rd, Sector 23, CBD Belapur, Navi
Mumbai, Maharashtra 400614 (India)
Tel.: + 91 22 3350 3350/ + 91 22 6280 6280 Fax: +(91)-80-41463151

INPATIENT BILL
PATIENT DETAILS IP No. : 97101 ID No. : 0000971247

Anjali Sudhanshu Bill No. : ICR33504

Flat-202, Plot- 168 Bill Dt./Time : 4-Feb-2023 4:22 PM

Surabhi CHS, Sec-21
Nerul, Navi Mumbai Admission Dt./Time : 4-Feb-2023 4:22 PM
400706 MH
Discahrge Dt./Time : 5-Jan-2023 7:06 AM

DETAILS
Service Name Amount(Rs.)

ROOM RENT (2 Shared Bed) 4,000.00

PHARMACY 2,765.54
MEDICAL EQUIPMENT 1,000.00
CONSULTATIONS 2,400.00
CONSUMABLES 2,118.00
INVESTIGATIONS 2,860.00

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Bill Amount 15,143.54

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In Words :
Fifteen Thousand Hundred Forty Three Rupees and Fifty Four Paise.

Refundable Deposit as on 4-Feb-2023 4:22 PM Rs.5000

This is a computer generated statement and requires no signature.

This Receipt is valid for an employer or insurer, who is contractually obligated to reimburse the medical expenses covered by MediSave
and/or MediShield.

For billing and general enquiries, please mail: info@apollohospitals.in

© Apollo Hospitals, Navi Mumbai 2013, All Rights reserved