|
OUT PATIENT RECEIPT |
| Invoice No |
DC/INV/22-23/10000 |
Date |
15/Jul/2026 09:10 |
| Patient Name |
SANAMMA |
MRD / Regn No. |
DIACARE/22-23/06537 |
| Age & Gender |
47/Female |
Contact No |
00000000000 |
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|
S# |
Service |
Amount |
| 1 |
FASTING BLOOD SUGAR
FUS | Fasting blood sugar |
50.00 |
| 2 |
POST PRANDIAL BLOOD SUGAR |
50.00 |
| 3 |
DENGUE |
250.00 |
| 4 |
MALARIA |
150.00 |
| 5 |
WIDAL /TYPHOID |
150.00 |
| 6 |
COMPLETE HEMOGRAM
Total WBC Count | Neutrophils | Lymphocytes | RBC count | Haemoglobin | Platelets count | Packed cell volume | MCV | MCH | MCHC |
100.00 |
| |
|
|
|
Total Service Amount : |
750.00 |
| |
Cash |
750.00 |
|
Consultation Charges : |
0.00 |
| |
CC |
0.00 |
|
Net Total : |
750.00 |
| |
Online |
0.00 |
| |
Credit |
0.00 |
|
Total Invoice Amount : |
750.00 |
| |
|
|
|
Total Paid Amount : |
750.00 |
| |
|
|
|
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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