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Invoice

The document is an ER invoice from ILS Hospitals Saltlake for patient Mr. Arup Sen, dated August 7, 2024, totaling INR 434.00 for services including catheter removal and supplies. The payment was made via Google Pay by the patient. The invoice includes details such as the practitioner's name, patient contact information, and billing remarks.

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thermocon1958
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51 views1 page

Invoice

The document is an ER invoice from ILS Hospitals Saltlake for patient Mr. Arup Sen, dated August 7, 2024, totaling INR 434.00 for services including catheter removal and supplies. The payment was made via Google Pay by the patient. The invoice includes details such as the practitioner's name, patient contact information, and billing remarks.

Uploaded by

thermocon1958
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ILS Hospitals Saltlake

DD-6, Salt Lake City (Near City Centre 1),(Near City Centre
1),Kolkata,West Bengal,India
GSTIN - 19AABCJ2967K2Z3 | GST State Code - 19
OI-S25ERCS1318

ER Invoice - Cash

Bill No. : S25ERCS1318 UHID : ILS7678130


Bill Date : 7 Aug 2024 | 12:13 PM Patient Name : Mr.ARUP SEN
Payor : Self Pay Age/ Gender : 66 Yrs/ M
Practitioner : Dr. Gotam Pipara | Urology Address : AD 314,RABINDRAPALLY,KESTOPUR, North 24
SAC Code : 9993 Parganas, West Bengal, India, 700101
Referred By : Mobile No : 91-9804170215

Net
S.No. Service Name Rate Qty. Gross Amt
Amnt

1 Catheter Removal (PR304) 350.00 1 350.00 350.00

2 SURGICALGLOVESNON STERILENO 6.5 - Batch: 23K1011 - Exp.: Oct/ 2028 50.00 1 50.00 50.00

3 SYRINGE10ML (BD) - Batch: 2401515 - Exp.: Dec/ 2028 34.00 1 34.00 34.00

Total 434.00 434.00

Amount in Words: INR Four Hundred and Thirty Four only


Gross Amount 434.00
Receipt/ Refund No. Date Adjusted Amount Mode Paid By Trx Reference No.
Net Amount 434.00
RS25ERCS1318 7 Aug 2024 434.00 Google Pay Patient 1549
Net Patient Payable 434.00

Paid by Patient 434.00

Username: Shrabani Ghosh


Bill Remarks:
Kin Name: Kin Relation: Kin Contact :
Prepared By: Shrabani Ghosh Printed By: Shrabani Ghosh Print Date: 7 Aug 2024 | 12:13 PM

PHYSICAL COPIESOF DIAGNOSTICREPORTSARE DISPATCHEDFROM 8AM TO 8PM.

PHYSICAL COPIES OF DIAGNOSTIC REPORTS ARE DISPATCHED FROM 8AM TO 8PM.

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