DATEWISE DETAILED IPD BILL
Patient Name: Mr. FAISAL SHAHZAD Admitted By: Dr Fayaz Haider Ali
MR No: 25060302 Referred By: Dr Fayaz Haider Ali
Age / Gender: 42Y 3M 11D / Male Admitted In: Private
Admission No: IAD-269 Bed No: 08
FINAL BILL Admission Date: 21-Jun-2025 15:51:25 Discharge Date: 22-Jun-2025 13:34:02
Panel: Sub-Panel:
Bill No: IB-266
Date/Time Service Rate Qty Total Amt Disc. Bill To Panel Cash Payable
MEDICINE
21-Jun-25 19:49:54 RINGER LACTATE INF 1000ML 164.00 1 164.00 0.00 0.00 164.00
21-Jun-25 19:49:54 BUPICAIN SPINAL (1X5MLS) INJ 2ML 74.19 1 74.19 0.00 0.00 74.19
21-Jun-25 19:49:54 XYLOAID 2% INJ 10ML 34.00 1 34.00 0.00 0.00 34.00
21-Jun-25 19:52:23 SULZONE INJ 2G 890.00 1 890.00 0.00 0.00 890.00
22-Jun-25 01:16:54 KELAC 30mg/ml 187.66 1 187.66 0.00 0.00 187.66
21-Jun-25 21:42:44 TRAMACURE 80.00 1 80.00 0.00 0.00 80.00
21-Jun-25 18:09:12 TONOFLEX-P (1x20s) TAB 37.5MG/325MG 22.75 1 22.75 0.00 0.00 22.75
21-Jun-25 19:49:54 ONSET INJ 8MG/ML 219.00 1 219.00 0.00 0.00 219.00
21-Jun-25 19:49:54 NORMAL SALINE 0.9% INF 1000ML 149.00 1 149.00 0.00 0.00 149.00
21-Jun-25 19:52:23 DECADRAN INJ 4MG 50.00 2 100.00 0.00 0.00 100.00
22-Jun-25 10:37:27 SULZONE INJ 2G 890.00 1 890.00 0.00 0.00 890.00
22-Jun-25 10:37:27 RISEK INJ 40MG 530.00 1 530.00 0.00 0.00 530.00
21-Jun-25 19:49:54 TRAMACURE 80.00 1 80.00 0.00 0.00 80.00
Microscopic varicocelectomy
22-Jun-25 03:04:35 Microscopic varicocelectomy ( PACKAGE ) 49500.0 1 49,500.00 0.00 0.00 49,500.00
0
SURGICAL
21-Jun-25 19:51:05 IV SET 100.00 1 100.00 0.00 0.00 100.00
21-Jun-25 19:50:13 DISPOSABLE SYRINGE 5CC 35.00 1 35.00 0.00 0.00 35.00
21-Jun-25 19:49:54 SURGICAL GLOVES 7.5 300.00 1 300.00 0.00 0.00 300.00
21-Jun-25 19:49:54 MANORAPID -100ML 700.00 1 700.00 0.00 0.00 700.00
21-Jun-25 22:00:23 Disposable apren 20.00 1 20.00 0.00 0.00 20.00
21-Jun-25 22:00:23 SURGICAL GLOVES 7.5 300.00 2 600.00 0.00 0.00 600.00
21-Jun-25 22:00:53 VICRYL 3/0 (R/B) VCP311H 450.00 2 900.00 0.00 0.00 900.00
21-Jun-25 19:50:13 GAUZE 4X4 PROMED 142.00 3 426.00 0.00 0.00 426.00
21-Jun-25 19:49:54 FIXOMULL STRETCH 10/10 CM 150.00 2 300.00 0.00 0.00 300.00
21-Jun-25 19:49:54 VICRYL 3/0 (R/B) VCP311H 450.00 1 450.00 0.00 0.00 450.00
21-Jun-25 19:50:13 ECG /BULB SUCTION ELECTRODE SET OF 6 ITALY 50.00 4 200.00 0.00 0.00 200.00
21-Jun-25 19:50:13 DISPOSABLE SYRINGE 3CC 30.00 1 30.00 0.00 0.00 30.00
21-Jun-25 19:49:54 SURGICAL GLOVES 7 300.00 1 300.00 0.00 0.00 300.00
21-Jun-25 22:00:23 VICRYL 4/0 (R/B) VCP310H 450.00 2 900.00 0.00 0.00 900.00
21-Jun-25 19:51:05 SANIPLAST 5.00 1 5.00 0.00 0.00 5.00
Printed By: Aleena Print DateTime: 23-06-2025 11:48 Terminal: RECEPTION-PC Report: rptIPDBillDetailPanel
Blue Area Pakland2
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DATEWISE DETAILED IPD BILL
Patient Name: Mr. FAISAL SHAHZAD Admitted By: Dr Fayaz Haider Ali
MR No: 25060302 Referred By: Dr Fayaz Haider Ali
Age / Gender: 42Y 3M 11D / Male Admitted In: Private
Admission No: IAD-269 Bed No: 08
FINAL BILL Admission Date: 21-Jun-2025 15:51:25 Discharge Date: 22-Jun-2025 13:34:02
Panel: Sub-Panel:
Bill No: IB-266
Date/Time Service Rate Qty Total Amt Disc. Bill To Panel Cash Payable
21-Jun-25 19:52:23 DISPOSABLE SYRINGE 20CC 100.00 1 100.00 0.00 0.00 100.00
21-Jun-25 19:52:23 SURGICAL BLADE 15 60.00 1 60.00 0.00 0.00 60.00
21-Jun-25 19:52:23 FEEDING TUBE SIZE 6 FR 100.00 1 100.00 0.00 0.00 100.00
21-Jun-25 19:51:05 SPINAL NEEDLE 25 G B .B RAUN 520.00 1 520.00 0.00 0.00 520.00
21-Jun-25 19:50:13 DISPOSABLE SYRINGE 10CC 120.00 2 240.00 0.00 0.00 240.00
21-Jun-25 19:52:23 DIATHERMY LEAD 400.00 1 400.00 0.00 0.00 400.00
22-Jun-25 01:31:53 IV SET 100.00 1 100.00 0.00 0.00 100.00
21-Jun-25 19:52:23 PYODINE SOLUTION SOL 60ML 250.00 1 250.00 0.00 0.00 250.00
21-Jun-25 19:52:23 EXAMINATION GLOVES NITRILE(MEDIUM) 15.00 10 150.00 0.00 0.00 150.00
21-Jun-25 19:50:13 EXAMINATION GLOVES NITRILE(MEDIUM) 15.00 10 150.00 0.00 0.00 150.00
21-Jun-25 19:49:54 PROLENE 3/0 CC W8549 233.00 1 233.00 0.00 0.00 233.00
60,489.60 0.00 0.00 60,489.60
Bill Summary Payment Received
Total Bill: 60,489.60 Advance: 60,489.00
Discount: 0.00 Cash: 0.60
Net Amount (after disc): 60,489.60 Credit Card: 0.00
Approved Bill Limit 0.00 Cheque: 0.00
Approved Room Limit: 0.00 Mobile Payment: 0.00
Approved Credit Hours: 0.00 Credit Panel: 0.00
Bill Difference: 0.00 Credit Patient: 0.00
Bill to Patient Services: 60,489.60 Total Adjusted Amount: 60,489.60
Balance: 0.00
Bill To Panel: 0.00
Payable by Patient: 60,489.60
Returnable Amount: 0.60
Printed By: Aleena Print DateTime: 23-06-2025 11:48 Terminal: RECEPTION-PC Report: rptIPDBillDetailPanel
Blue Area Pakland2
2/2