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OUT PATIENT RECEIPT |
| Invoice No |
DC/INV/22-23/09359 |
Date |
08/Jun/2026 14:17 |
| Patient Name |
Shivramu |
MRD / Regn No. |
DIACARE/22-23/06041 |
| Age & Gender |
68/Male |
Contact No |
0000000 |
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S# |
Service |
Amount |
| 1 |
COMPLETE HEMOGRAM
Total WBC Count | Neutrophils | Lymphocytes | RBC count | Haemoglobin | Platelets count | Packed cell volume | MCV | MCH | MCHC |
350.00 |
| 2 |
LIVER FUNCTION TEST
Total Serum bilirubin | Direct bilirubin | Indirect bilirubin | SGOT | SGPT | Alkaline phosphate | Serum total protein | Serum albumin | Serum globulin |
450.00 |
| 3 |
SERUM CREATININE |
150.00 |
| 4 |
UREA |
100.00 |
| 5 |
URIC ACID |
200.00 |
| 6 |
LIPID PROFILE
Serum cholesterol | Serum tryglyceride | HDL cholestrol | LDL cholesterol | VLDL cholesterol |
450.00 |
| 7 |
HIV |
300.00 |
| 8 |
HCV |
100.00 |
| 9 |
HBSAG |
100.00 |
| 10 |
URINE ROUTINE
Urine Pus Cells | Urine sugar | Epi cells | Urine albumin |
50.00 |
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|
|
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Total Service Amount : |
2,250.00 |
| |
Cash |
2,250.00 |
|
Consultation Charges : |
0.00 |
| |
CC |
0.00 |
|
Net Total : |
2,250.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
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Total Invoice Amount : |
2,250.00 |
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|
|
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Total Paid Amount : |
2,250.00 |
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Balance Amount |
0.00 |
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| For Diacare Diabetic Health Care Center |
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| Lab |
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| This is a computer generated Invoice. |
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