Sr. No. IPD No. UHID No.
Patient Name Address Age Contact No
Guardian Adm.Date Adm.Time Dis.Date Dis.Time Ward Bed No.
Ref. Doctor Cons. Doctor Department End Result LOS Total Bill Tot.
Disc. Total Depo. TPA Discount TDS Amount Refund Amount Grand Total Amt.
Paid Net Balance Cash/Credit Diagnosis Treat. Given Surgery BILLING
OPERATOR Operator Remarks
1 9/25-26 27043/25-26 B/O Sayara Manjur Tamboli Shirdi Rahata Ahilya
Nagar, 23D/F 9272808138 Sayara 02/04/2025 12:48 PM 09/04/2025 10:41
AM Nicu NICU-3 Self Dr. ANANTKUMAR BHANGE PEDIATRIC Relieved 8
28000.00 0.00 0.00 0.00 0.00 0.00 28000.00 0.00 28000.00 MJPJAY
/ PMJAY FULL TERM/AGA/INADEQUATE FEEDING/ HYPERBILIRUBINEMIA PHOTHERAPY IVFLUED
INJ-TAXIM Mangesh Mungse Mangesh Mungse
2 10/25-26 26616/24-25 Ahire Prakash Sitaram Puntamba Vaijapur Ahilya
Nagar 37Y 23D/M 9284570982 C/O 02/04/2025 02:51 PM 09/04/2025 11:38 AM
Male_Medicine_Ward MMW-5 Self Dr. Mayur Gangwal UROLOGY Relieved
8 40000.00 0.00 0.00 0.00 0.00 0.00 40000.00 0.00 40000.00
MJPJAY / PMJAY Relieved Chetan Waghmare Mangesh Mungse
3 15/25-26 26996/25-26 Kuyte Saksham Arun Savlivihir 4Y 5M 11D/M
8788738326 C/O Arun 03/04/2025 01:39 PM 09/04/2025 03:04 PM
Male_Medicine_Ward MMW-9 Self Dr. ANANTKUMAR BHANGE PEDIATRIC
Relieved 7 20000.00 0.00 0.00 0.00 0.00 0.00 20000.00 0.00
20000.00 MJPJAY / PMJAY Relieved Chetan Waghmare Chetan
Waghmare
4 16/25-26 27072/25-26 Pawar Bhanudas Eknath Kopergaon Ahilya Nagar 67Y
9D/M 8600902306 C/O 03/04/2025 06:26 PM 11/04/2025 02:57 PM Icu ICU-3
Self Dr. Chinmaya Kulkarni Cardiology Relieved 9 85000.00 0.00
0.00 0.00 0.00 0.00 85000.00 0.00 85000.00 Cash Relieved
Chetan Waghmare Chetan Waghmare
5 17/25-26 27073/25-26 Sonawane Vedant Krishna Loni Vaijapur Sambhaji Nagar,
3M 9D/M 9049265249 Sonawane 03/04/2025 07:18 PM 08/04/2025 08:10
PM Picu PICU-1 Self Dr. ANANTKUMAR BHANGE PEDIATRIC Expired 6
60000.00 0.00 0.00 0.00 0.00 0.00 60000.00 0.00 60000.00 MJPJAY
/ PMJAY Expired Chetan Waghmare Chetan Waghmare EXPIRED
6 19/25-26 27079/25-26 1. B/O Aher Arti Vikas Rui, Tal- Rahata, 10D/F
9552384757 Vikas 03/04/2025 11:46 PM 11/04/2025 12:35 PM Nicu
NICU-5 Self Dr. ANANTKUMAR BHANGE PEDIATRIC Relieved 9
28000.00 0.00 0.00 0.00 0.00 0.00 28000.00 0.00 28000.00 Cash
TERM BABY/TWINS 1 FEMALE /AGA/HYPERBILIRUBINEMIA PHOTOTHERAPY INJ-TAXIM
Harshada Fatangare Harshada Fatangare
7 22/25-26 27089/25-26 Pawar Gorakh Babanrao Chorwagalgaon 28Y 8D/M
8605911107 C/O 04/04/2025 03:21 PM 07/04/2025 04:03 PM
Male_Medicine_Ward MMW-1 Self Dr. Ankush Rayate Medicine Relieved
4 5350.00 0.00 5350.00 0.00 0.00 0.00 0.00 0.00 0.00 Cash
Relieved Harshada Fatangare Harshada Fatangare
8 24/25-26 27090/25-26 Jaypatre Kusum Bhanudas Sonewadi Kopergaon Ahilya
Nagar, 78Y 8D/F 9764589707 05/04/2025 10:53 AM 07/04/2025 11:55
AM Icu ICU-1 Self Dr. Ankush Rayate Medicine Relieved 3 5000.00
5000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Cash Relieved
Sagar Badgujar Sagar Badgujar REGULAR
9 27/25-26 27119/25-26 Avesh Salim Pathan Jeur Patoda 13Y 7D/M
9356539107 C/O 05/04/2025 03:25 PM 11/04/2025 02:19 PM Picu PICU-3
Self Dr. ANANTKUMAR BHANGE PEDIATRIC Relieved 7 28000.00 0.00
0.00 0.00 0.00 0.00 28000.00 0.00 28000.00 Cash Relieved
Harshada Fatangare Harshada Fatangare
10 30/25-26 27165/25-26 Barase Dattatray Rambhau Yasgaon Yeola Nashik
38Y 5D/M 9657065973 C/O 07/04/2025 07:34 PM 08/04/2025 10:24 AM
Icu ICU-1 Self Dr. Amit Naikwade Orthopaedic On Request 2 3900.00
0.00 3900.00 0.00 0.00 0.00 0.00 0.00 0.00 Cash On Request
Harshada Fatangare Harshada Fatangare DAMA
11 32/25-26 27167/25-26 B/O Mohsin Balambhai Sayyad Dauch Kopargaon 8D/F
9545810009 C/O Mohsin 07/04/2025 09:23 PM 11/04/2025 02:24 PM Nicu
NICU-9 Self Dr. ANANTKUMAR BHANGE PEDIATRIC Relieved 5
28000.00 0.00 0.00 0.00 0.00 0.00 28000.00 0.00 28000.00 Cash
TERM BABY/LGA/HYPERBILIRUBINEMIA PHOTOTHERAPY INJ-TAXIM Harshada
Fatangare Harshada Fatangare
12 33/25-26 27168/25-26 Orhan Azaz Ansari Yeola 3Y 5D/M 9271429035 C/O
Ansari 08/04/2025 12:08 AM 09/04/2025 04:25 PM Picu PICU-4 Self
Dr. Anantkumar Bhange PEDIATRIC Relieved 2 10000.00 0.00
10000.00 0.00 0.00 0.00 0.00 0.00 0.00 Cash Relieved
Harshada Fatangare Harshada Fatangare
13 34/25-26 27169/25-26 Khairmode Satish Ramlal Ashram Niwasi 52Y 4D/M
8087271089 C/O 08/04/2025 01:14 AM 08/04/2025 01:43 PM
Male_Medicine_Ward MMW-1 Self Dr. Ankush Rayate Medicine Relieved
1 1300.00 650.00 650.00 0.00 0.00 0.00 0.00 0.00 0.00
Cash Relieved Mangesh Mungse Mangesh Mungse
14 35/25-26 816/22-23 Wagh Gorakh Chagan Malwadikokamthantal-Kopargaon
Ahmadnagar 53Y 7M 21D/M 9850129574 C/O 08/04/2025 10:36 AM 09/04/2025
12:50 PM Male_Medicine_Ward MMW-2 Self Dr. Ankush Rayate Medicine
Relieved 2 3050.00 3050.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 ASHRAM STAFF AMASY Relieved Chetan Waghmare Chetan
Waghmare
15 37/25-26 27188/25-26 2. B/O Aher Arti Vikas Rui, Tal- Rahata 10D/M
9552384757 C/O Vikas 08/04/2025 04:37 PM 11/04/2025 12:58 PM Nicu
NICU-4 Self Dr. ANANTKUMAR BHANGE PEDIATRIC Relieved 4
28000.00 0.00 0.00 0.00 0.00 0.00 28000.00 0.00 28000.00 Cash
TERM BABY/TWINS 2 MALE /AGA/HYPERBILIRUBINEMIA PHOTOTHERAPY INJ-TAXIM
Chetan Waghmare Chetan Waghmare
16 38/25-26 27189/25-26 Jagdhane Nirmala Raybhan Shrirampur 60Y 4D/F
9552635685 C/O 08/04/2025 05:05 PM 10/04/2025 06:29 PM Icu ICU-2
Self Dr. Chinmaya Kulkarni Cardiology Relieved 3 4500.00 0.00
4500.00 0.00 0.00 0.00 0.00 0.00 0.00 Cash Relieved
Mangesh Mungse Mangesh Mungse
17 39/25-26 19017/24-25 Gadewar Somesh Sachin Std Kokamthan 14Y 3M 18D/M
9820354874 C/O 09/04/2025 06:14 PM 11/04/2025 05:39 PM
Male_Medicine_Ward MMW-1 Self Dr. Ankush Rayate Medicine Relieved
3 3100.00 1550.00 1550.00 0.00 0.00 0.00 0.00 0.00 0.00
STUDENTS AMASY Relieved Chetan Waghmare Chetan Waghmare
18 40/25-26 27201/25-26 Hajare Mangal Kiran Kokamthan Kopergaon Ahilya
Nagar 39Y 3D/F 7350606210 C/O 09/04/2025 08:46 PM 10/04/2025 02:56 PM
Female_Medicine_Ward FMW-2 Self Dr. Ankush Rayate Medicine Relieved
2 1550.00 0.00 1550.00 0.00 0.00 0.00 0.00 0.00 0.00 Cash
Relieved Harshada Fatangare Harshada Fatangare
19 47/25-26 10321/23-24 Birari Soham Somnath Ashram Std Kokamthan 13Y 1M
15D/M 9673493488 Somnath 11/04/2025 01:06 AM 11/04/2025 04:37 PM
Male_Medicine_Ward MMW-3 Self Dr. Ankush Rayate Medicine Relieved
1 300.00 0.00 300.00 0.00 0.00 0.00 0.00 0.00 0.00
STUDENTS AMASY Relieved Chetan Waghmare Chetan Waghmare
20 48/25-26 15376/24-25 Bhosale Babasaheb Devrao Nimgaon 62Y 7M 8D/M
8975502575 11/04/2025 09:48 AM 11/04/2025 04:04 PM
Male_Medicine_Ward MMW-4 Self Dr. Tejashree Chavan Ophthalmology
Relieved 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Cash
Relieved Chetan Waghmare Chetan Waghmare
21 49/25-26 25432/24-25 Nikale Sunanda Sakhahari Rahata, Rahata 65Y
2M/F 8208946832 11/04/2025 10:20 AM 12/04/2025 10:20 AM
Female_Medicine_Ward FMW-2 Self Dr. Tejashree Chavan Ophthalmology
Relieved 2 4500.00 0.00 4500.00 0.00 0.00 0.00 0.00 0.00
0.00 Cash Relieved Chetan Waghmare Chetan Waghmare
22 1509/24-25 26514/24-25 B/O Shinde Krushna Jaganath Vaijapur 27D/F
9011145281 C/O Krushna 17/03/2025 10:11 PM 11/04/2025 12:27 PM Nicu
NICU-8 Self Dr. ANANTKUMAR BHANGE PEDIATRIC Relieved 26
84000.00 0.00 0.00 0.00 0.00 0.00 84000.00 0.00 84000.00 Cash
32 TO 36 WEEKS PRETERM/SGA/ HYALINE MEMBRANE DISEASE CLINICAL/CULTURE
POSITIVE SEPSIS MECHANICAL VENTILATION O2 BY VENTILATOR INJ-TAXIM IV FLUED
Harshada Fatangare Harshada Fatangare
23 1566/24-25 26802/24-25 B/O Sayyad Mehraj Aarbaz Lasur, Tal- Gangapur
19D/M 8237498545 C/O Arbaz 25/03/2025 10:03 PM 09/04/2025 10:46 AM
Nicu NICU-1 Self Dr. ANANTKUMAR BHANGE PEDIATRIC Relieved 16
84000.00 0.00 0.00 0.00 0.00 0.00 84000.00 0.00 84000.00 MJPJAY
/ PMJAY LATE PRETERM/AGA/SEVERE RDS/VENTILATED O2 BY VENTILATOR INJ-MERO
IVFLUED Mangesh Mungse Mangesh Mungse
24 1571/24-25 26863/24-25 B/O Juned Jakirhusen Tamboli Sangamner 18D/M
9011071989 C/O Jakirhusen 27/03/2025 05:51 PM 08/04/2025 03:54 PM
Nicu NICU-4 Self Dr. Anantkumar Bhange PEDIATRIC Relieved 13
60000.00 0.00 0.00 0.00 0.00 0.00 60000.00 0.00 60000.00 MJPJAY
/ PMJAY TERM BABY/AGA/MECONIUM ASPIRATION O2 BY HOOD INJ-TAXIM IV FLUED
Mangesh Mungse Mangesh Mungse
25 1583/24-25 2186/23-24 Patil Jayprakash Damodar Ashram 79Y 7M 24D/M
9923549287 31/03/2025 04:46 PM 08/04/2025 04:21 PM Icu ICU-2
Self Dr. Ankush Rayate Medicine Relieved 9 35000.00 0.00 0.00
0.00 0.00 0.00 35000.00 0.00 35000.00 MJPJAY / PMJAY
Relieved Mangesh Mungse Mangesh Mungse
Total : 153 650550.00 10250.00 32300.00 0.00 0.00
0.00 608000.00 0.00 608000.00
