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Detail Receipt

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Agrwal Hospital
  • MRD No.: 125679
  • Name: John Lorem
  • Address: 2435 Sweetwater, National City, California.
  • Date Of visit: Jun 23,2021
  • ABHA: 91-1254-1245-9874
  • Age: 27
  • Contact No: 123-456-789
  • Discharge: Jun 23,2021
  • M/F: Male
  • Email: pt1@gmail.com
  • Net Payment: 0
  • Unique ID: Male
  • Treating Doctor: Doctor Agrawal
  • Cash/card/Gpay/Net banking: Net banking
# Procedure No. of Procedures Charges GST
1 General Ward 1 2,500 250
2 Medicine Ward 5 5,500 550
3 Medicine Special Room 3 3,000 300
4 Paeditric Ward 4 4,500 450
5 Paeditric Special Room 7 7,500 750
6 Dental Ward 9 10,000 1,000
7 Dental Special Room 2 5,000 500
8 Surgical Ward 6 7,000 700
9 Surgical Special Room 4 11,000 1,100
10 Orthopaedic Ward 1 2,000 200
11 Orthopaedic Special Room 6 8,500 850
12 Gynaecology Ward 3 5,000 550
13 Gynaecology Special Room 7 9,000 900
14 Trauma care Ward 6 6,500 600
15 Trauma care Special Room 1 2,500 250
16 Ophthelmic Ward 5 5,500 550
17 Ophthelmic Special Room 3 3,000 300
18 Oncology Ward 4 4,500 450
19 ICU 4 4,500 450
20 Psychetry Ward 4 4,500 450
21 Psychetry Special Room 7 7,500 750
22 ENT Ward 4 4,500 450
23 ENT Special Room 2 5,000 500
24 Physiotherapy Ward 6 7,000 700
25 Physiotherapy Special Room 4 11,000 1,100
26 Post Partem Ward 1 2,000 200
27 Post Partem Special Room 6 8,500 850
28 Paeditric ICU 3 5,000 550
29 Total 64 86,000 8,000
  • Advance Paid: 0
  • Net Expenditure: 0
  • Payble/Refundable: 0
  • Balance Amount: 0
  • Total Payment: 0
  • Insurance Claim: 0
  • Discount: 0
  • GST: 0
  • Mode of payment: Online
  • Insurance Compney: Company Name
  • After Discount: 0
  • Total: 0
  • Transuction ID: 6824AJH5669
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