|
OUT PATIENT RECEIPT |
| Invoice No |
DC/INV/22-23/09547 |
Date |
19/Jun/2026 08:38 |
| Patient Name |
Parimala |
MRD / Regn No. |
DIACARE/22-23/06184 |
| Age & Gender |
63/Female |
Contact No |
000000 |
| |
|
|
|
|
S# |
Service |
Amount |
| 1 |
FASTING BLOOD SUGAR
FUS | Fasting blood sugar |
50.00 |
| 2 |
POST PRANDIAL BLOOD SUGAR |
50.00 |
| 3 |
HBA1C |
350.00 |
| 4 |
TSH |
400.00 |
| 5 |
SERUM CREATININE |
150.00 |
| |
|
|
|
Total Service Amount : |
1,000.00 |
| |
Cash |
1,000.00 |
|
Consultation Charges : |
0.00 |
| |
CC |
0.00 |
|
Net Total : |
1,000.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
1,000.00 |
| |
|
|
|
Total Paid Amount : |
1,000.00 |
| |
|
|
|
Balance Amount |
0.00 |
|
|
|
| For Diacare Diabetic Health Care Center |
| |
|
|
|
| Lab |
| |
|
|
|
| This is a computer generated Invoice. |
|
