OUT PATIENT RECEIPT Invoice No DCDH/INV/22-23/07211 Date 14/Jun/2026 08:31 Patient Name Mrs Yasodha MRD / Regn No. DCDHC/22-23/03707 Age & Gender 50/Female Contact No 8105322919         S# Service Amount 1 FBS 50.00 2 PPBS 50.00 3 HBA1C 450.00 4 T3 200.00 5 T4 200.00 6 TSH 250.00 7 URINE ROUTINE URINE ALBUMIN | PUS CELLS | EPITHELIAL CELLS | RBCs | URINE SUGARS | others 50.00         Total Service Amount : 1,250.00   Cash 1,100.00   Consultation Charges : 0.00   CC 0.00   Net Total : 1,100.00   Online 0.00   Discount : 150.00   Credit 0.00   Total Invoice Amount : 1,100.00         Total Paid Amount : 1,100.00         Balance Amount 0.00   For Diacure Diabetic Health Care Center         Admin         This is a computer generated Invoice.