Scribd
Upload
699 views2 pages

Deposit Reciept

- The document is a deposit receipt from Apollo Hospitals for Baby of GAYATRI MADKAIKAR showing a deposit of 75,000 INR was made via debit card on March 15, 2021. - The payment was made by debit card with the last 4 digits being 0719 and was approved with a PIN verification. - The receipt provides details of the transaction including the patient and payment information for record keeping purposes during future visits to the hospital.

Uploaded by

Gayatri Madkaikar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
699 views2 pages

Deposit Reciept

- The document is a deposit receipt from Apollo Hospitals for Baby of GAYATRI MADKAIKAR showing a deposit of 75,000 INR was made via debit card on March 15, 2021. - The payment was made by debit card with the last 4 digits being 0719 and was approved with a PIN verification. - The receipt provides details of the transaction including the patient and payment information for record keeping purposes during future visits to the hospital.

Uploaded by

Gayatri Madkaikar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

-~

/~ollo e OSPITALS

DEPOSIT RECEIPT

Uhid: ANM1 .0000425799 Patient Identifier : ANMIP65653 Receipt No : 2552389


Patient Name : Ba bv or GAYATR
MADKAIKAR Receipt Date :
15-Mar-2021 10:07:07 pm
Address : JA - 123 KAVERI KALPATARU
RIVER SIDE OLD PANVEL Nav i
Mumbai Maharashtra India
111111111111 111111111111111 111111111111111111

Transaction Type: DEPOSIT

Transaction Amount : 75,000.00

Mode Of Payment
Instrument Number Transaction Amount
DEBIT(CARD) 0719 75,000.00

Received with Thanks ·: 75,000.00


(
. Seventy-Five Thousand Only (INR) From Baby OfGAYATRI MADKAIKAR
1 ~ashie
Remarks:
NOTE: All Pavments lncludlna Dr.Fees Should be Paid at Bllllna Counter Onlv

For enquires, appointments contact 022 - 3350 3350

'it_J!_~_
Regd. Office : Apollo Hospitals Enterprise Limited, No . 19, Bis hop Gard ens, Raj a Annam ala ipuram, Chennai - 600 028 . CIN : L8511 OTN 1979PL008035
Apollo Hospitals, Plot #1 3. Parsik Hill Road, Off Uran Road , Sector - 23, CBD Belapur, Navi Mumba i- 400 61 4, Mahara shtra . India IT: +91 22 3350 3350 I Fax No.: +9 1 22
27533080 I Em erg ency No .: 1066 E: info@apollohos pi tals.com I mumbai.apolloho spitals. com For online appointment : www.askapollo.com
li'illll:I Keep the records carefully and bring them along during your next visit to our Hospital '
lll!filJJ ··--
r.Jta,iFC BANK
We understand your world
1oo538Apollo Hospital Belapur
Plot No.13~ Sector 23, Parsik Hill Road
· Mumbai
Date: 15/03/202·1 Tin1e : 22:06:16
MID:O TID: 27092710
BATCH: 001481 INVOICE: 024904
SALE
CARD NUM : 479932xxxxxx0719 Chip
CARD TYPE : VISA
AP'PR CODE : 028993
RRN NO . 000000032413
AID : A0000000031010
LABEL : VISA DEBIT
TSI : FSOO
TVR : 0080048000
TC :055D49D92709CC9E

AMOUNT : INR 75000.00


PIN VERIFIED OK. SIGNATURE NOT
REQUIRED.
GAYATRI BHUSHAN MADl'.(AIKAR/
I AGREE TO PAY AS PER CARD ISSUER
AGREEMENT lnnoviti uniPA~ NEXT
(ver1 .0)
www.innoviti.com
uniPAY NEXT 8.0
*~**** CUSTOMER COPY******
Thank You!
·- I Aft.,..._~..._ I"""\~ n~ ........ --....._.. "" --.. .,.

You might also like