|
OUT PATIENT RECEIPT |
| Invoice No |
DCDH/INV/22-23/07415 |
Date |
15/Jul/2026 08:13 |
| Patient Name |
Mrs Manjula |
MRD / Regn No. |
DCDHC/22-23/03779 |
| Age & Gender |
50/Female |
Contact No |
8105410140 |
| |
|
|
|
|
S# |
Service |
Amount |
| 1 |
FBS |
50.00 |
| 2 |
PPBS |
50.00 |
| 3 |
HBA1C |
450.00 |
| 4 |
LIPID PROFILE SERUM CHOLESTEROL | SERUM TRIGLYCERIDES | HDL CHOLESTEROL | LDL CHOLESTEROL | VLDL CHOLESTEROL |
450.00 |
| 5 |
URINE ROUTINE URINE ALBUMIN | PUS CELLS | EPITHELIAL CELLS | RBCs | URINE SUGARS | others |
50.00 |
| |
|
|
|
Total Service Amount : |
1,050.00 |
| |
Cash |
900.00 |
|
Consultation Charges : |
0.00 |
| |
CC |
0.00 |
|
Net Total : |
900.00 |
| |
Online |
0.00 |
|
Discount : |
150.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
900.00 |
| |
|
|
|
Total Paid Amount : |
900.00 |
| |
|
|
|
Balance Amount |
0.00 |
|
|
|
| For Diacure Diabetic Health Care Center |
| |
|
|
|
| Admin |
| |
|
|
|
| This is a computer generated Invoice. |
|