GREEN VIEW CLINIC PVT LTD

(A UNIT OF SHRISTI)
NH-6, ALAMPUR MORE, NEW KOLORAH, HOWRAH HOWRAH - 711302
Phone No : 9830063911/6289225312
e-mail : [email protected]
Website : www.shristigroup.in
IN PATIENT
IN PATIENT
BILL BREAK
BILL UP
GSTIN : 19ACKFS6912R1Z5
Print Date & Time : 25-Oct-2024 2:33 pm Last Update on : 19-Oct-2024 8:20 am Page No : Page 2
1 of 4
ADMISSION
PATIENT NAMECATEGORY
: Mrs KAMALA
: CORPORATE
BOSE CREDIT GENDER : FEMALE AGE : 77Yrs 0Months 0Days
BILL NODr.
UNDER / DATE :: IPBL/2024/1515
MEDICINE UNIT 19-Oct-2024 8:00 am BED NO : ICU-15
UHID
ADDRESS :: 24J00163
VILL- GANGAMANI ,PO- SHIBPUR,PS- SHIBPUR,DIS- HOWRAH,PIN-IP NUMBER
711102 7272
PATIENT NAME : Mrs KAMALA BOSE
HOWRAH GENDER : FEMALEPHONE NOAGE :: 77Yrs 0Months 0Days
9770496924
UNDER Dr.
CORPORATE/TPA : : MEDICINE
SWASTHAUNIT
SATHI BED NO : ICU-15
ADDRESS
BILL NO :: VILL- GANGAMANI
IPBL/2024/1515 ,PO- SHIBPUR,PS- SHIBPUR,DIS- HOWRAH,PIN- 711102
BILL DATE : 19-Oct-2024 8:00 am
HOWRAH PHONE NO : 9770496924
HOSPITAL NO : 24J00163 IP. NO. : 7272
CORPORATE/TPA : SWASTHA SATHI
NAME : Mrs KAMALA BOSE AGE : 77Yrs 0Months 0Days
URN : 1907 1557 1240 EMP. NAME: K BOSE PATIENT RELATION : SELF
BED CHARGES 8280 2 WITH EMPLOYEE

From
D.O.A Date : Till Date
17-Oct-2024 1:30Ward
pm No Of Rate Amount
EXPIRED : 19-Oct-2021111111 8:00Type
am Days
11111111111111111
17-Oct-24 1:30 pm
Sr. No. PARTICULARS 19-Oct-24 8:00 am 15 - ICU 2 3300.00 6600.00
AMOUNT

TOTAL BED CHARGES 6600.00

1 BED CHARGES 6,600.00
IP CONSULTATION
2 IP CONSULTATION 2,500.00
From
3 Date Particulars
CARDIOLOGY Qty Rate Amount
150.00
4 LABORATORY 25,850.00
17-Oct-2024
5 No Code
RADIOLOGY - ABHIJIT DAS 1.00 500.00 500.00
120.00
18-Oct-2024 No Code - SUVAMITRA CHOWDHURY (Super Speciality Visit) 1.00 1000.00 1000.00
6 FACILITIES 3,000.00
18-Oct-2024
WARDNo Code - ABHIJIT DAS 1.00 500.00 500.00
7 PROCEDURE 6,150.00
18-Oct-2024 No Code - BIPRADAS CHATTERJEE 1.00 500.00 500.00
8 MEDICINE ISSUE 27,110.96
TOTAL IP CONSULTATION 2500.00
Sub Total Rs 71,480.96
CARDIOLOGY
Total Amount : 71480.96
From Date Particulars Qty Rate Amount
Less Deposit Amount : 0.00
Rupees Seventy-One Thousand Four Hundred Eighty-One Only -/ Round Off : 0.04
17-Oct-2024 No Code - ECG (DIGITAL) 1.00 150.00 150.00
Amount Payable / Receivable : 714810000000000000

TOTAL CARDIOLOGY
0.00
150.00
LABORATORY

From Date Particulars Qty Rate Amount

17-Oct-2024 SS02000036 - Blood Group & RH Type 1.00 40.00 40.00

17-Oct-2024 SS02000107 - Prothrombin Time (P.T.) 1.00 100.00 100.00
17-Oct-2024 No Code - D-DIMER QUANTITATIVE 1.00 1500.00 1500.00

17-Oct-2024 SS02000012 - Complete Haemogram/ CBC, Hb,RBC count and indices, TLC, 1.00 100.00 100.00
DLC, Platelet , ESR, Peripheral smear examination
17-Oct-2024 No Code - BLOOD CULTURE AEROBIC & ANAEROBIC 1.00 1200.00 1200.00
17-Oct-2024 SS02000061 - Blood Urea Nitrogen 1.00 60.00 60.00
17-Oct-2024 No Code - PROCALCITONIN 1.00 2200.00 2200.00
17-Oct-2024 No Code - CARDIAC ENZYMES ( LDH,CPK,CPK-MB ) 1.00 1400.00 1400.00
17-Oct-2024 SS02000062 - Serum Creatinine 1.00 60.00 60.00

PATIENT / PERSON ACCOMPANYING THE PATIENT

SIGNATURE
PREPARED BY :
 GREEN VIEW CLINIC PVT LTD
(A UNIT OF SHRISTI)
NH-6, ALAMPUR MORE, NEW KOLORAH, HOWRAH HOWRAH - 711302
Phone No : 9830063911/6289225312
e-mail : [email protected]
Website : www.shristigroup.in
IN PATIENT BILL BREAK UP
GSTIN : 19ACKFS6912R1Z5
Print Date & Time : 25-Oct-2024 2:33 pm Last Update on : 19-Oct-2024 8:20 am Page No : Page 3 of 4
PATIENT NAME : Mrs KAMALA BOSE GENDER : FEMALE AGE : 77Yrs 0Months 0Days
UNDER Dr. : MEDICINE UNIT BED NO : ICU-15
ADDRESS : VILL- GANGAMANI ,PO- SHIBPUR,PS- SHIBPUR,DIS- HOWRAH,PIN- 711102
HOWRAH PHONE NO : 9770496924
CORPORATE/TPA : SWASTHA SATHI
BILL NO : IPBL/2024/1515 BILL DATE : 19-Oct-2024 8:00 am

HOSPITAL NO : 24J00163 IP. NO. : 7272

NAME : Mrs KAMALA BOSE AGE : 77Yrs 0Months 0Days
17-Oct-2024 No Code - N.T.PRO BNP 1.00 2300.00 2300.00
17-Oct-2024 SS02000096 - Serum Sodium 1.00 80.00 80.00
17-Oct-2024 SS02000128 - Liver Function Test. 1.00 300.00 300.00
17-Oct-2024 SS02000095 - Serum Magnesium 1.00 150.00 150.00
17-Oct-2024 SS02000097 - Serum Potassium 1.00 80.00 80.00
17-Oct-2024 SS02000081 - Serum Calcium –Total 1.00 60.00 60.00
17-Oct-2024 No Code - MALARIA DUAL ANTIGEN 1.00 500.00 500.00
17-Oct-2024 SS02000172 - T3, T4, TSH 1.00 200.00 200.00
17-Oct-2024 No Code - TYPHOID IGM (TYPHIDOT - M) 1.00 300.00 300.00
17-Oct-2024 No Code - SPUTUM FOR GRAM STAIN 1.00 200.00 200.00
17-Oct-2024 No Code - DENGUE IGG , IGM & NS1 ANTIGEN 1.00 2200.00 2200.00
17-Oct-2024 No Code - IL - 6 1.00 2500.00 2500.00
17-Oct-2024 No Code - Vitamin D3 1.00 1500.00 1500.00
17-Oct-2024 No Code - Vitamin B12 1.00 1500.00 1500.00
17-Oct-2024 No Code - SPUTUM C/S 1.00 900.00 900.00
17-Oct-2024 No Code - WIDAL TEST 1.00 150.00 150.00
17-Oct-2024 SS02000122 - Blood gas analysis with electrolytes 1.00 450.00 450.00
17-Oct-2024 No Code - MALARIA PARASITE 1.00 100.00 100.00
18-Oct-2024 S02000080. - SUGAR PP 1.00 45.00 45.00
18-Oct-2024 SS02000129 - Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides) 1.00 250.00 250.00
18-Oct-2024 SS02000096 - Serum Sodium 1.00 80.00 80.00
18-Oct-2024 SS02000070 - Serum Uric Acid 1.00 60.00 60.00
18-Oct-2024 SS02000062 - Serum Creatinine 1.00 60.00 60.00
18-Oct-2024 SS02000080 - GLUCOSE FASTING 1.00 45.00 45.00
18-Oct-2024 SS02000097 - Serum Potassium 1.00 80.00 80.00
18-Oct-2024 No Code - IRON PROFILE (IRON,TIBC,FERRITIN,TRANSFERRIN) 1.00 3500.00 3500.00
18-Oct-2024 SS02000122 - Blood gas analysis with electrolytes 1.00 450.00 450.00
18-Oct-2024 SS02000061 - Blood Urea Nitrogen 1.00 60.00 60.00
18-Oct-2024 SS02000001 - Urine routine- pH, Specific gravity, sugar, protein and microscopy 1.00 40.00 40.00

18-Oct-2024 SS02000073 - C.R.P. 1.00 100.00 100.00

18-Oct-2024 No Code - URINE FOR CULTURE & SENSITIVITY 1.00 500.00 500.00
19-Oct-2024 SS02000122 - Blood gas analysis with electrolytes 1.00 450.00 450.00

TOTAL LABORATORY 25850.00