OUT PATIENT RECEIPT Invoice No CDEC/INV/26/23945 Date 03/Jun/2026 17:57 Patient Name VAsanthakumari Gopal MRD / Regn No. 20210000386 Age & Gender 57/Female Contact No 9003200422         S# Service Amount 1 CBC Hemoglobin | Platelets | Total Count WBC | PCV | RBC Count | MCV | MCH | MCHC | Neutrophils | Lymphocytes | Eosinophils | Monocytes | Basophils 350.00 2 LIVER FUNCTION TEST (LFT) Albumin (serum) | Alkaline Phosphotase | SGPT (ALT) | SGOT (AST) | Total Bilirubin | Direct Bilirubin | Total Protein | Globulin | A\G RATIO | Gamma Glutamyl transferase (GGT) | Indirect Bilirubin 750.00 3 FREE T4,TSH Free T4 | TSH 600.00 4 BUN BLOOD UREA NITROGEN 160.00 5 CREATININE 160.00 6 MICROALBUMIN CREATININE RATIO URINE SPOT PROTEIN | URINE CREATININE | SPOT PCR 500.00 7 URINE PROFILE Pus Cells | Colour | Appearance | PH | Specific Gravity | Reaction | Sugar (R) | Bile salts | Bile Pigments | Urobilinogen | Epithelial Cells | RBCs | Casts | Crystals | Other Clinic Services | Albumin 150.00         Total Service Amount : 2,670.00   Cash 2,670.00   Dr. Krishna G Seshadri Consultation Charges : 1,000.00   CC 0.00   Net Total : 3,670.00   Online 1,000.00   Credit 0.00   Total Invoice Amount : 3,670.00         Total Paid Amount : 3,670.00         Balance Amount 0.00   For CDEC         Lab         This is a computer generated Invoice.