OUT PATIENT RECEIPT Invoice No DCDH/INV/22-23/07363 Date 06/Jul/2026 07:43 Patient Name Mrs Asha MRD / Regn No. DCDHC/22-23/01267 Age & Gender 42/Female Contact No 8453867421         S# Service Amount 1 FBS 50.00 2 PPBS 50.00 3 TSH 250.00 4 T3 200.00 5 T4 200.00 6 URINE ROUTINE URINE ALBUMIN | PUS CELLS | EPITHELIAL CELLS | RBCs | URINE SUGARS | others 50.00 7 HBA1C 450.00         Total Service Amount : 1,250.00   Cash 1,250.00   Consultation Charges : 0.00   CC 0.00   Net Total : 1,250.00   Online 0.00   Credit 0.00   Total Invoice Amount : 1,250.00         Total Paid Amount : 1,250.00         Balance Amount 0.00   For Diacure Diabetic Health Care Center         Admin         This is a computer generated Invoice.