Bill of Supply / Tax Invoice
Name Mr.NAGARJUNA Bill DMWAB/25-26/00000929
Age/Gender 25 Y 6 M 9 D /Male Visit/Reg Date 01-Jul-2025 06:44PM
Contact No 9108910184 Refered By Dr.SELF
Address Madiwala,Bangalore Visit No DMWAOPV14977
UHID DMWA.0000003142 Center PCC MADIWALA
Home Collection No Center Ph. No 7760876712
Center Address Ground floor, No 5, 7, 2nd maim road, opp
srinivasa temple, maruthi nagar madivala
bangalore
SAC
# Service Code Service Name Reporting Date Rate Total
Code
1 PR038 PR038~COMPLETE BLOOD COUNT (CBC) 02-Jul-2025 01:30PM 999316 385 385
2 SE0051 SE0051~WIDAL TEST (SLIDE METHOD ) 02-Jul-2025 01:30PM 999316 330 330
Bill Amount : 715
Settlement Payment Receipt No Mode Amount
Net Bill Amount : 715
Settlement 01-07-2025 DMWAR/25-26/00000468 Cash 715
Total Paid Amount : 715
Authorized
Received with thanks : Seven Hundred And Fifteen Only
Signature :
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01-Jul-2025 06:52 PM Page 1 of 1