OUT PATIENT RECEIPT Invoice No CDEC/INV/26/24205 Date 03/Jul/2026 19:36 Patient Name Rameshkumar Muthukrishnan MRD / Regn No. 20190000708 Age & Gender 49/Male Contact No 7708436961         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 VITAMIN D (25 OH) 1,500.00         Total Service Amount : 4,020.00   Cash 0.00   Consultation Charges : 0.00   CC 0.00   Net Total : 4,020.00   Online 0.00   Credit 0.00   Total Invoice Amount : 4,020.00         Total Paid Amount : 0.00         Balance Amount 4,020.00   For CDEC         Lab         This is a computer generated Invoice.