OUT PATIENT RECEIPT
Invoice No DCDH/INV/22-23/07449 Date 19/Jul/2026 09:40
Patient Name Mrs Rangamma MRD / Regn No. DCDHC/22-23/03790
Age & Gender 72/Female Contact No 1234567812
       
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 HBA1C 450.00
5 URINE ROUTINE
URINE ALBUMIN | PUS CELLS | EPITHELIAL CELLS | RBCs | URINE SUGARS | others
50.00
        Total Service Amount : 900.00
  Cash 750.00   Consultation Charges : 0.00
  CC 0.00   Net Total : 750.00
  Online 0.00   Discount : 150.00
  Credit 0.00   Total Invoice Amount : 750.00
        Total Paid Amount : 750.00
        Balance Amount 0.00
 
For Diacure Diabetic Health Care Center
       
Admin
       
This is a computer generated Invoice.