|
OUT PATIENT RECEIPT |
| Invoice No |
CDEC/INV/26/24424 |
Date |
24/Jul/2026 18:27 |
| Patient Name |
Gina Phillip |
MRD / Regn No. |
20160000754 |
| Age & Gender |
57/Female |
Contact No |
9840441230 |
| |
|
|
|
|
S# |
Service |
Amount |
| 1 |
FREE T4,TSH
Free T4 | TSH |
600.00 |
| 2 |
MICROALBUMIN CREATININE RATIO
URINE SPOT PROTEIN | URINE CREATININE | SPOT PCR |
500.00 |
| 3 |
VITAMIN B12 |
1,000.00 |
| 4 |
VITAMIN D (25 OH) |
1,500.00 |
| |
|
|
|
Total Service Amount : |
3,600.00 |
| |
Cash |
3,600.00 |
|
Consultation Charges : |
0.00 |
| |
CC |
0.00 |
|
Net Total : |
3,600.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
3,600.00 |
| |
|
|
|
Total Paid Amount : |
3,600.00 |
| |
|
|
|
Balance Amount |
0.00 |
|
|
|
| For CDEC |
| |
|
|
|
| Lab |
| |
|
|
|
| This is a computer generated Invoice. |
|
