OUT PATIENT RECEIPT Invoice No DCDH/INV/22-23/07202 Date 12/Jun/2026 08:13 Patient Name Mr Shantha Raju MRD / Regn No. DCDHC/22-23/00534 Age & Gender 58/Male Contact No 9980398321         S# Service Amount 1 FBS 50.00 2 PPBS 50.00 3 CREATININE 100.00 4 TSH 250.00 5 T3 200.00 6 T4 200.00 7 URINE ROUTINE URINE ALBUMIN | PUS CELLS | EPITHELIAL CELLS | RBCs | URINE SUGARS | others 50.00         Total Service Amount : 900.00   Cash 900.00   Consultation Charges : 0.00   CC 0.00   Net Total : 900.00   Online 0.00   Credit 0.00   Total Invoice Amount : 900.00         Total Paid Amount : 900.00         Balance Amount 0.00   For Diacure Diabetic Health Care Center         Admin         This is a computer generated Invoice.