Receipt 33993326

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RECEIPT

REFERENCE NO. : 33993326

APPOINTMENT DATE : January 2, 2023


APPOINTMENT TIME : Mon 03:00 PM (Time may vary according to doctor's arrival time)
APPOINTMENT NO. : 001 (Active)
HOSPITAL : ASIRI MEDICAL HOSPITAL - KIRULA ROAD - COLOMBO 05

PATIENT'S NAME : Mrs. AMALI IYANTHA (Local )


PHONE NUMBER : 715906595
NIC : 862973453v
EMAIL : [email protected]

ROOM : C18
Dr. KANISHKA KARUNARATNE (Gynaecologist)
(Obstetrician)
(Obstetrician & Gynaecologist)
DOCTOR NAME :
(Gynaecologist (VOG))
(Gynaecological Cancer Surgeon)
(Gynaecological Oncologist)
PAYMENT DATE : 2022-12-26 11:15 PM
SOURCE : Doc990 (Web)

DOCTOR CHARGES : 950.00 LKR


HOSPITAL CHARGES : 1100.00 LKR
ONGOING NUMBER CHARGES : 0.00 LKR
NO SHOW REFUND CHARGES : 250.00 LKR
BOOKING CHARGES : 399.00 LKR
TOTAL CHARGES : 2699.00 LKR

HOSPITAL REFERENCE : AHH0001012116


HOSPITAL ADDRESS : No. 181, Kirula Road, Narahenpita, Colombo –05, Sri Lanka.
HOSPITAL CONTACT NUMBER : 011 452 3300
HOSPITAL EMAIL : [email protected]

TERMS & CONDITIONS

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