|
OUT PATIENT RECEIPT |
| Invoice No |
DC/INV/22-23/09684 |
Date |
29/Jun/2026 10:57 |
| Patient Name |
Sarojamma |
MRD / Regn No. |
DIACARE/22-23/06286 |
| Age & Gender |
55/Female |
Contact No |
000000000 |
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|
S# |
Service |
Amount |
| 1 |
DENGUE |
350.00 |
| 2 |
MALARIA |
250.00 |
| 3 |
WIDAL /TYPHOID |
250.00 |
| |
|
|
|
Total Service Amount : |
850.00 |
| |
Cash |
850.00 |
|
Consultation Charges : |
0.00 |
| |
CC |
0.00 |
|
Net Total : |
850.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
850.00 |
| |
|
|
|
Total Paid Amount : |
850.00 |
| |
|
|
|
Balance Amount |
0.00 |
|
|
|
| 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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