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    Invoice 1

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    karmakarsaswati8
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    Invoice 1

    Uploaded by

    karmakarsaswati8
    13 views1 page
    It's a document

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    Invoice-1

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    © © All Rights Reserved

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    13 views1 page

    Invoice 1

    Uploaded by

    karmakarsaswati8
    It's a document

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    ILS Hospitals Agartala

    Capital Complex Extension,,P.O - New Secretariat,Agartala ,Tripura,India


    GSTIN - 16AABCJ2967K1ZA | GST State Code - 16

    OI-A25OPCS10047

    OP Invoice - Cash

    Bill No. : A25OPCS10047 UHID : ILS7656515


    Bill Date : 2 May 2024 | 12:42 PM Patient Name : ANIL KARMAKAR
    Payor : Self Pay
    Age/ Gender : 74 Yrs/ M
    Practitioner : Dr. Debasattwa Bhattacharya | Neurology
    Address : Agartala , Tripura, India
    SAC Code : 9993
    Referred By : Mobile No : 91-8256945713

    Net
    S.No. Service Name Rate Qty. Gross Amt
    Amnt

    1 MRI Screening (RD112) 6,150.00 1 6,150.00 6,150.00

    Total 6,150.00 6,150.00

    Amount in Words: INR Six Thousand One Hundred Fifty only


    Gross Amount 6,150.00
    Receipt/ Refund No. Date Adjusted Amount Mode Paid By
    Net Amount 6,150.00
    RA25OPCS10047 2 May 2024 6,150.00 Cash Patient
    Net Patient Payable 6,150.00

    Paid by Patient 6,150.00

    Username: Chandrika Kar


    Bill Remarks:
    Kin Name: Kin Relation: Kin Contact :
    Prepared By: Chandrika Kar Printed By: Chandrika Kar Print Date: 2 May 2024 | 12:42 PM

    PHYSICAL COPIESOF DIAGNOSTICREPORTSARE DISPATCHEDFROM 8AM TO 8PM.

    PHYSICAL COPIES OF DIAGNOSTIC REPORTS ARE DISPATCHED FROM 8AM TO 8PM.

    Page 1 of 1

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