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PatientReceiptNew Roshni Gupta

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0% found this document useful (0 votes)
41 views1 page

PatientReceiptNew Roshni Gupta

Uploaded by

honeyrosh
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
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Bill of Supply / Tax Invoice

Name Ms. ROSHNIDEVI


Ms.ANJALI KUMARI GUPTA Bill DPWBB/23-24/00004180
Age/Gender 29 Y 39 M
51 M 19
24 D
D /Female
/Female Visit/Reg Date 15-Nov-2024 10:19AM
08-Mar-2024 10:19AM
Contact No xxxxxxxx Refered By Dr.SELF
Address Flat No -433, Pavani Sarovar Phase -2 ,Nallurhalli Visit No DPWBOPV23953
UHID APJ1.0027164515 Center PCC WHITEFIELD BANGALORE
Home Collection Yes Center Ph. No 9100911338
Center Address NO-937, HK-147, Hope Farm, Whitefield Main
Road, Whit

# Service Code Service Name Reporting Date SAC Code Rate Discount Total
1 PK1796 PK1796~VITAMIN-D FEMALE 08-Mar-2024 06:30PM 999316 249 0 249
2 PK2051 PK2051~APOLLO HEALTH CHECK - BASIC 08-Mar-2024 06:30PM 999316 5499
1499 0
750 5499
749
Bill Amount : 5748
1748
Total Discount : 750
Net Bill Amount : 4998
998
Authorized Signature :
You can download your report from 'WWW.APOLLODIAGNOSTICS.IN' Enter user name as ITPWBA23961 and password as 57EUM8
For any query, kindly get in touch with us on customer.care@apollodiagnostics.in or call us on 040 - 44442424
GSTIN :29AADCA0733E1Z3
Address :22,23,24,25/101/3,Sree Rama Layout,BNR Complex,OPP.RBI Layout,JP Nagar,7th Phase,Bengaluru,Karnataka
Please look for AAA+ logo on your report for Apollo assured quality

15-Jan-2025 08:02 PM Page 1 of 1

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