OUT PATIENT RECEIPT
Invoice No DCDH/INV/22-23/07383 Date 07/Jul/2026 08:39
Patient Name Mrs Puttathayamma MRD / Regn No. DCDHC/22-23/03769
Age & Gender 60/Female Contact No 8884303560
       
S# Service Amount
1 FBS 50.00
2 PPBS 50.00
3 HBA1C 450.00
4 URINE ROUTINE
URINE ALBUMIN | PUS CELLS | EPITHELIAL CELLS | RBCs | URINE SUGARS | others
50.00
        Total Service Amount : 600.00
  Cash 450.00   Consultation Charges : 0.00
  CC 0.00   Net Total : 450.00
  Online 0.00   Discount : 150.00
  Credit 0.00   Total Invoice Amount : 450.00
        Total Paid Amount : 450.00
        Balance Amount 0.00
 
For Diacure Diabetic Health Care Center
       
Admin
       
This is a computer generated Invoice.