|
OUT PATIENT RECEIPT |
| Invoice No |
DCDH/INV/22-23/07445 |
Date |
19/Jul/2026 08:16 |
| Patient Name |
Mrs. Ningarajamma |
MRD / Regn No. |
DCDHC/22-23/02747 |
| Age & Gender |
64/Female |
Contact No |
1231231223 |
| |
|
|
|
|
S# |
Service |
Amount |
| 1 |
FBS |
50.00 |
| 2 |
PPBS |
50.00 |
| 3 |
URINE ROUTINE
URINE ALBUMIN | PUS CELLS | EPITHELIAL CELLS | RBCs | URINE SUGARS | others |
50.00 |
| |
|
|
|
Total Service Amount : |
150.00 |
| |
Cash |
150.00 |
|
Consultation Charges : |
0.00 |
| |
CC |
0.00 |
|
Net Total : |
150.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
150.00 |
| |
|
|
|
Total Paid Amount : |
150.00 |
| |
|
|
|
Balance Amount |
0.00 |
|
|
|
| For Diacure Diabetic Health Care Center |
| |
|
|
|
| Admin |
| |
|
|
|
| This is a computer generated Invoice. |
|
