OUT PATIENT RECEIPT Invoice No DCDH/INV/22-23/07219 Date 15/Jun/2026 08:20 Patient Name Mr Nagaraj MRD / Regn No. DCDHC/22-23/03436 Age & Gender 51/Male Contact No 9964264006         S# Service Amount 1 FBS 50.00 2 PPBS 50.00 3 UREA 100.00 4 CREATININE 100.00 5 LIPID PROFILE SERUM CHOLESTEROL | SERUM TRIGLYCERIDES | HDL CHOLESTEROL | LDL CHOLESTEROL | VLDL CHOLESTEROL 450.00 6 URINE ROUTINE URINE ALBUMIN | PUS CELLS | EPITHELIAL CELLS | RBCs | URINE SUGARS | others 50.00         Total Service Amount : 800.00   Cash 400.00   Consultation Charges : 0.00   CC 0.00   Net Total : 650.00   Online 0.00   Discount : 150.00   Credit 0.00   Total Invoice Amount : 650.00         Total Paid Amount : 400.00         Balance Amount 250.00   For Diacure Diabetic Health Care Center         Admin         This is a computer generated Invoice.