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 :
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GSTIN :29AADCA0733E1Z3
Address :22,23,24,25/101/3,Sree Rama Layout,BNR Complex,OPP.RBI Layout,JP Nagar,7th Phase,Bengaluru,Karnataka
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