|
OUT PATIENT RECEIPT |
| Invoice No |
CDEC/INV/26/24219 |
Date |
07/Jul/2026 17:27 |
| Patient Name |
Mohamed Yasin |
MRD / Regn No. |
20260000636 |
| Age & Gender |
15/Male |
Contact No |
9751286548 |
| |
|
|
|
|
S# |
Service |
Amount |
| 1 |
FREE T4,TSH
Free T4 | TSH |
600.00 |
| 2 |
TESTOSTERONE (TOTAL) |
750.00 |
| 3 |
LH LEUTINIZING HORMONE (MALE) |
550.00 |
| 4 |
FSH FOLLICULE STIMULATING HORMONE (MALE) |
500.00 |
| 5 |
GLYCOSYLATED HEMOGLOBIN (HBA1C) |
450.00 |
| |
|
|
|
Total Service Amount : |
2,850.00 |
| |
Cash |
4,150.00 |
|
Dr. Krishna G Seshadri Consultation Charges : |
1,300.00 |
| |
CC |
0.00 |
|
Net Total : |
4,150.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
4,150.00 |
| |
|
|
|
Total Paid Amount : |
4,150.00 |
| |
|
|
|
Balance Amount |
0.00 |
|
|
|
| For CDEC |
| |
|
|
|
| Lab |
| |
|
|
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| This is a computer generated Invoice. |
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