APOLLO HOSPITALS                                                                 EMERGENCY                 1066
Opposite IIMB,154/11, nr.bhat circle gandhinagar ,
                                                    Ahmedabad -380024 (India)
                                    Tel.: +(91)-80-26304051 / 26304041Fax: +(91)-80-41466151
                                                                   INPATIENT BILL
PATIENT DETAILS                                                                    IP No . 97158                          ID No . 0000244411
PANDYA GIRISHBHAI PRAVEENBHAI                                                      Bill No . ICR33596
2 Radhey App.                                                                      Bill Dt./Time 19-Oct-2024 10:06 AM
Pratik
Thakkarnagar                                                                       Admission Dt./Time 16-Oct-2024 7:22 AM
Ahmedabad
                                                                                   Discharge Dt./Time : 19-Oct-2024 10:06 AM
                                                                         DETAILS
Service Name                                                                                                       Amount(Rs.)
ROOM RENT                                                                                                                                              5,000.00
PHARMACY                                                                                                                                               2,765.54
MEDICAL EQUIPMENT                                                                                                                                      1,000.00
CONSULTATIONS                                                                                                                                          2,400.00
CONSUMABLES                                                                                                                                            2,118.00
INVESTIGATIONS                                                                                                                                         2,860.00
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                                                                                                                     Bill Amount                      16,143.54
                                                                                                                   ------------------------------------------------
In Words :
Sixteen Thousand Hundred Forty Three Rupees and Fifty Four Paise.
Refundable Deposit As On 19-Oct-2024 10:05 AM                    Rs.5000
This is a computer generated statement and requires no signature.
This Receipt is valid for an employer or insurer, who is contractually obligated to reimburse the medical expenses covered by MediSave
and/or MediShield.
For billing and general enquiries, please mail: customercare_bangalore@apollohospitals.com
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