|
OUT PATIENT RECEIPT |
| Invoice No |
DC/INV/22-23/09756 |
Date |
02/Jul/2026 09:52 |
| Patient Name |
Channegowda |
MRD / Regn No. |
DIACARE/22-23/06346 |
| Age & Gender |
72/Male |
Contact No |
00000000000 |
| |
|
|
|
|
S# |
Service |
Amount |
| 1 |
SERUM CREATININE |
150.00 |
| 2 |
COMPLETE HEMOGRAM
Total WBC Count | Neutrophils | Lymphocytes | RBC count | Haemoglobin | Platelets count | Packed cell volume | MCV | MCH | MCHC |
350.00 |
| 3 |
HBSAG |
100.00 |
| 4 |
HIV |
300.00 |
| 5 |
HCV |
100.00 |
| 6 |
LIPID PROFILE
Serum cholesterol | Serum tryglyceride | HDL cholestrol | LDL cholesterol | VLDL cholesterol |
450.00 |
| 7 |
LIVER FUNCTION TEST
Total Serum bilirubin | Direct bilirubin | Indirect bilirubin | SGOT | SGPT | Alkaline phosphate | Serum total protein | Serum albumin | Serum globulin |
450.00 |
| 8 |
ELECTROLYTES
Potassium | Sodium | Chloride | Bicarbonate | Serum Osmolality (M) | Serum Osm (Cal) | Urine Osmolality (M) |
550.00 |
| 9 |
UREA |
100.00 |
| 10 |
URIC ACID |
200.00 |
| |
|
|
|
Total Service Amount : |
2,750.00 |
| |
Cash |
2,750.00 |
|
Consultation Charges : |
0.00 |
| |
CC |
0.00 |
|
Net Total : |
2,750.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
2,750.00 |
| |
|
|
|
Total Paid Amount : |
2,750.00 |
| |
|
|
|
Balance Amount |
0.00 |
|
|
|
| For Diacare Diabetic Health Care Center |
| |
|
|
|
| Lab |
| |
|
|
|
| This is a computer generated Invoice. |
|
