OUT PATIENT RECEIPT Invoice No DCDH/INV/22-23/07323 Date 28/Jun/2026 08:15 Patient Name Mr Shivalanakar M MRD / Regn No. DCDHC/22-23/02312 Age & Gender 51/Male Contact No 9742168939         S# Service Amount 1 COMPLETE BLOOD COUNT TOTAL WBC COUNT | NEUTROPHILS | LYMPHOCYTES | MONOCYTES | RBC COUNT | HEAMOGLOBIN | PLATELET COUNT | MCV | MCH | MCHC 300.00 2 FBS 50.00 3 PPBS 50.00 4 TSH 250.00 5 URINE ROUTINE URINE ALBUMIN | PUS CELLS | EPITHELIAL CELLS | RBCs | URINE SUGARS | others 50.00 6 T3 200.00 7 T4 200.00         Total Service Amount : 1,100.00   Cash 700.00   Consultation Charges : 0.00   CC 0.00   Net Total : 1,100.00   Online 0.00   Credit 0.00   Total Invoice Amount : 1,100.00         Total Paid Amount : 700.00         Balance Amount 400.00   For Diacure Diabetic Health Care Center         Admin         This is a computer generated Invoice.