Medical Bills Sairakshith
Medical Bills Sairakshith
Medical Bills Sairakshith
Phone: +919880368966
Treatments & Products Unit Cost INR Qty Total Cost INR
1. Consultation (Orthopaedics)
600.00 600.00
Date 5 Jan, 2021
2 X ray 2 views
600.00 600.00
Date 25 Jan, 2021
Payment Details
Grand Total: 1,200.00 INR
Date Receipt Number Mode Of Payment Amount Paid INR
Amount Received: 1,200.00 INR
25 Jan, 2021 RCPT79 Cash 1,200.00
Balance Amount: 0.00 INR
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RAGAVS
Diagnostic & Research Centre Pvt Ltd
#10/804-1, Patalamma Temple Road (Anebande Road)
3rd Block, Jayanagar,
Bangalore 560011 -
(PAE
Authorised Signatory
Jay anag
Billed By THULASI At 25/01/2021
Reports will be issued only on producing this bill
Report& slides will not be preserved
RAGAVS
O SBI Research Ce
c& Research Centre Pvt Ltd
Dnostic
M/s Ragavsntre Put L td
imma Temple Road (Anebande Road)
BANGAL ORE ayanagar, Bangalore 560011
KARNA TAKA
DATE/TIME: 25/01/21
MID 022000000019894
8:510 6,57 26549279, 26656434, 26534594/95
TID: 01649802
BATCH NUM 000931 INV NUM 026364 BILL RECEIPT
Sale TH RAVI
APPL NAME Visa Debit
AID A0000000031010 Age 22Year(s) Sex Male
TVR 0080048000
TSI F800 47
TCB4EA9EF2404E8DF0
SHETTY
CARD NUM: xxxxxxxx4245 Chip
EXP DATEXXKK CARD TYPE VISA E
APPR CODE 001811 RREF NUM:102518927521
AMOUNT 7000.00
PIN verified, Signature not required
SAIRAKSHITH R
AGREE TO PAY AS PER CARD ISSUER
AGREEMENT
ice Particulars ChargeS
T (SINGLE) 7000.00
THANK YOU, COME AGAIN Total Rs. 7000.00
xXXKK CUSTOMER COPY xxKxx
Ver sion 01 00 00/0ct 10 2019
v20013GDF-176 Grand Total Rs. 7000.00
Paid Amt. 7000.00
Bal. Amt. 0.00
(PA
Authorised Signatoryy
Jayyana
Billed By THULASI At 25/01/2021
NR MARKETING
#23/24, 9th Main, 4th Phase, Gururaja Layout,
Banashankari 3rd Stage, Bangalore 560 085.
No. 132
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Date.0.324
AMOUNT
SI. HSN
MRP RATE QTY. Rs. Ps.
No. PARTICULARS Code
JA8012so01 126 0 r
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RUPEES TOTAL
1260
E&O.E.
sGST...
FOR NR MARKETING
2 cGST.. .%