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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
# Department Quantity Charges GST
1 General Ward 1 2,500 250
2 Medicine Ward 1 2,500 250
3 Medicine Special Room 5 5,500 550
4 Paeditric Ward 3 3,000 300
5 Paeditric Special Room 3 3,000 300
6 Dental Ward 4 4,500 450
7 Dental Special Room 7 7,500 750
8 Surgical Ward 9 10,000 1,000
9 Surgical Special Room 2 5,000 500
10 Orthopaedic Ward 6 7,000 700
11 Orthopaedic Special Room 4 11,000 1,100
12 Gynaecology Ward 1 2,000 200
13 Gynaecology Special Room 6 8,500 850
14 Trauma care Ward 3 5,000 550
15 Trauma care Special Room 7 9,000 900
16 Ophthelmic Ward 4 4,500 450
17 Ophthelmic Special Room 7 7,500 750
18 Oncology Ward 9 10,000 1,000
19 Oncology Special Room 2 5,000 500
20 ICU 6 7,000 700
21 Psychetry Ward 6 7,000 700
22 Psychetry Special Room 4 11,000 1,100
23 ENT Ward 1 2,000 200
24 ENT Special Room 6 8,500 850
25 Physiotherapy Ward 3 5,000 550
26 Physiotherapy Special Room 7 9,000 900
25 Post Partem Ward 3 5,000 550
26 Post Partem Special Room 7 9,000 900
27 Paeditric ICU 6 6,500 600
28 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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