Kunraghat , Gorakhpur-273008, Uttar Pradesh, India

Phone :0551-2205501, Email :onlineappointmentaiimsgkp@gmail.com

Online Appointment Slip & Cash Receipt

CR No. 999182400758487 DATE&TIME 23-Mar-2024 20:19:54

TRANSACTION ID 1495293907739 NAME VISHAL MAURYA

DERMATOLOGY (DR
AGE/SEX 20 YR/M DEPARTMENT SUNIL KUMAR GUPTA

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UNIT 2)

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APPOINTMENT FOR 27-Mar-2024 11:32

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SERVICE RATE(Rs.) QTY DISC.(Rs.) AMOUNT(Rs.)

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NEW DEPARTMENT VISIT-(NEWV) 10.00 1 0.00 10.00

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PATIENT REGISTRATION CARD-

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20.00 1 0.00 20.00
(PATREGCARD) i
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TOTAL AMT :30.00, BILLED AMT :30.00, TAXES/GATEWAY CHARGES :0.00, COLLECTED AMT :30.00
NOTE : AMT,PATIENT SHARE AND CREDIT SHARE ARE IN RS. , MODE OF PAYMENT : UPI, PAYMENT
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DETAILS : 1495293907739
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