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OUT PATIENT RECEIPT |
| Invoice No |
CDEC/INV/26/24132 |
Date |
25/Jun/2026 17:14 |
| Patient Name |
Rupesh Chopra |
MRD / Regn No. |
20260000585 |
| Age & Gender |
39/Male |
Contact No |
9878401819 |
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S# |
Service |
Amount |
| 1 |
CBC
Hemoglobin | Platelets | Total Count WBC | PCV | RBC Count | MCV | MCH | MCHC | Neutrophils | Lymphocytes | Eosinophils | Monocytes | Basophils |
350.00 |
| 2 |
FREE T4,TSH
Free T4 | TSH |
600.00 |
| 3 |
LIPID PROFILE
LDL Low Density Lipoprotein | HDL High Density Lipoprotein | TGL Triglyceride | Total Cholesterol | VLDL | TOTAL CHO/HDL RATIO |
450.00 |
| 4 |
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 |
| 5 |
GLYCOSYLATED HEMOGLOBIN (HBA1C) |
450.00 |
| 6 |
BUN BLOOD UREA NITROGEN |
160.00 |
| 7 |
CREATININE |
160.00 |
| |
|
|
|
Total Service Amount : |
2,920.00 |
| |
Cash |
0.00 |
|
Dr. Krishna G Seshadri Consultation Charges : |
1,300.00 |
| |
CC |
0.00 |
|
Net Total : |
4,220.00 |
| |
Online |
4,220.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
4,220.00 |
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|
|
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Total Paid Amount : |
4,220.00 |
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|
|
|
Balance Amount |
0.00 |
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| For CDEC |
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| Lab |
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| This is a computer generated Invoice. |
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