OUT PATIENT RECEIPT
Invoice No DCDH/INV/22-23/07190 Date 10/Jun/2026 08:27
Patient Name Mrs Jayamma MRD / Regn No. DCDHC/22-23/03328
Age & Gender 58/Female Contact No 8971408733
       
S# Service Amount
1 FBS 50.00
2 PPBS 50.00
3 URINE ROUTINE
URINE ALBUMIN | PUS CELLS | EPITHELIAL CELLS | RBCs | URINE SUGARS | others
50.00
        Total Service Amount : 150.00
  Cash 150.00   Consultation Charges : 0.00
  CC 0.00   Net Total : 150.00
  Online 0.00
  Credit 0.00   Total Invoice Amount : 150.00
        Total Paid Amount : 150.00
        Balance Amount 0.00
 
For Diacure Diabetic Health Care Center
       
Admin
       
This is a computer generated Invoice.