|
OUT PATIENT RECEIPT |
| Invoice No |
CDEC/INV/26/24376 |
Date |
22/Jul/2026 17:57 |
| Patient Name |
Jotshana Venkatesan |
MRD / Regn No. |
20160001194 |
| Age & Gender |
24/Female |
Contact No |
9840049114 |
| |
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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 |
CALCIUM |
200.00 |
| 4 |
ALBUMIN |
200.00 |
| 5 |
VITAMIN B12 |
1,000.00 |
| 6 |
VITAMIN D (25 OH) |
1,500.00 |
| |
|
|
|
Total Service Amount : |
3,850.00 |
| |
Cash |
1,000.00 |
|
Consultation Charges : |
0.00 |
| |
CC |
0.00 |
|
Net Total : |
3,850.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
3,850.00 |
| |
|
|
|
Total Paid Amount : |
1,000.00 |
| |
|
|
|
Balance Amount |
2,850.00 |
|
|
|
| For CDEC |
| |
|
|
|
| Lab |
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| This is a computer generated Invoice. |
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