|
OUT PATIENT RECEIPT |
| Invoice No |
MH/INV/23-24/01737 |
Date |
04/Jun/2026 19:07 |
| Patient Name |
Vijayalakshimi |
MRD / Regn No. |
MH/23-24/00109 |
| Age & Gender |
73/Female |
Contact No |
9362718922 |
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|
S# |
Service |
Amount |
| 1 |
ROOM CHARGES |
4,000.00 |
| 2 |
NURSING CHARGES |
800.00 |
| 3 |
DR CHARGES |
2,000.00 |
| 4 |
NAFLD - LFT
Albumin | Alkaline Phosphotase | ALT Alanine Aminotransferase | AST Aspartate Aminotransferase | Platelets | NAFLD Risk Score | USG NAFLD Grade |
500.00 |
| 5 |
UREA |
120.00 |
| 6 |
CREATININE |
120.00 |
| 7 |
HBA1C GLYCOSYLATED HEMOGLOBIN |
400.00 |
| 8 |
BLOOD GROUP |
0.00 |
| 9 |
PERIPHERAL SMEAR |
200.00 |
| |
|
|
|
Total Service Amount : |
8,140.00 |
| |
Cash |
0.00 |
|
Dr. Balaji Chidambaram Consultation Charges : |
200.00 |
| |
CC |
0.00 |
|
Net Total : |
8,340.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
8,340.00 |
| |
|
|
|
Total Paid Amount : |
0.00 |
| |
|
|
|
Balance Amount |
8,340.00 |
|
|
|
| For Meenakshi Hospital |
| |
|
|
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| Admin |
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| This is a computer generated Invoice. |
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