|
OUT PATIENT RECEIPT |
| Invoice No |
CDEC/INV/26/24147 |
Date |
27/Jun/2026 18:40 |
| Patient Name |
Jayalakshmi Sivaraman |
MRD / Regn No. |
20240000141 |
| Age & Gender |
36/Female |
Contact No |
8124142142 |
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S# |
Service |
Amount |
| 1 |
FASTING PLASMA GLUCOSE (FPG) |
60.00 |
| 2 |
POST PRANDIAL GLUCOSE (2HPP) |
60.00 |
| 3 |
GLYCOSYLATED HEMOGLOBIN (HBA1C) |
450.00 |
| 4 |
BUN BLOOD UREA NITROGEN |
160.00 |
| 5 |
CREATININE |
160.00 |
| 6 |
FREE T4,TSH
Free T4 | TSH |
600.00 |
| 7 |
MICROALBUMIN CREATININE RATIO
URINE SPOT PROTEIN | URINE CREATININE | SPOT PCR |
500.00 |
| |
|
|
|
Total Service Amount : |
1,990.00 |
| |
Cash |
0.00 |
|
Consultation Charges : |
0.00 |
| |
CC |
0.00 |
|
Net Total : |
1,990.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
1,990.00 |
| |
|
|
|
Total Paid Amount : |
0.00 |
| |
|
|
|
Balance Amount |
1,990.00 |
|
|
|
| For CDEC |
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|
|
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| Lab |
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| This is a computer generated Invoice. |
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