Scribd
Upload
5K views2 pages

HIV Test Invoice and Payment Summary

The invoice details a health checkup for Subham Pradhan including tests like full body checkup, blood group profile, and HIV antibodies testing totaling Rs. 5,319 with a discount of Rs. 119 bringing the grand total to Rs. 5,200 which was paid in cash. The invoice also includes notes about the tests and consent for HIV testing.

Uploaded by

Subham Pradhan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
5K views2 pages

HIV Test Invoice and Payment Summary

The invoice details a health checkup for Subham Pradhan including tests like full body checkup, blood group profile, and HIV antibodies testing totaling Rs. 5,319 with a discount of Rs. 119 bringing the grand total to Rs. 5,200 which was paid in cash. The invoice also includes notes about the tests and consent for HIV testing.

Uploaded by

Subham Pradhan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Healthians Invoice

Invoice

INVOICE NO. INVOICE DATE BOOKING ID SAMPLE COLLECTION DATE SAC CODE
1094640 May 12, 2022 1974682301 May 12, 2022 999316

BILL FROM CUSTOMER BILLING DETAILS


CIN Number:- U93000HR2013PTC0451132 Subham Pradhan
Expedient Healthcare Marketing Pvt Ltd. Sanaptasundarpur, Cuttack,
Plot No. 518, Udyog Vihar, Phase 3, Cuttack, Odisha, Cuttack, Odisha -
India 754018

GST No.: Not Applicable

TEST DESCRIPTION AMOUNT

Subham Pradhan

Healthians Full Body Checkup With CBC ₹2899.00


Blood Group Profile ABO & Rh Typing (manual), Blood ₹ 590.00
HIV 1&2 Antibodies ₹ 1830.00

Total Amount ₹ 5,319.00

Discount coupon ₹119.00

Grand Total ₹5,200.00

Paid Amount ₹5,200.00

Payment Mode Summary


Amount Chargeable (in words)
Rupees Five Thousand Two Hundred Only Payment Date Payment Mode Amount
Company's PAN No. AADCE5479M 2022-05-12 Cash ₹ 5,200.00
Please make cheques in favor of "Expedient Healthcare Marketing Pvt Ltd. "

Important Notes :
* Expedient Healthcare Marketing Pvt Ltd is exempt from GST being a healthcare service provider
* This invoice can be used for tax exemption under section 80-D (Preventive Health Checkup)
* Reports sent on registered mail ID according to the respective TAT and can also be downloaded through healthians Application
* All dispute / claims concerning to reports are subject to the courts of Gurgaon
* It is recommended that you consult your Doctor/Physician for interpretation of results
* Healthians assumes no liability towards any delays beyond its control
* Maximum liability of service provider would not exceed the amount charged by the service provider for the particular test(s)

CONSENT FOR HIV TESTING:


"I have been informed about HIV test, its procedure, implications, limitations and interpretation, along with its transmission and
prevention. I, hereby, give my consent to my HIV test(s) to be conducted"

* This is a computer generated receipt and does not require signature/stamp

999-888-000-5 [email protected] www.healthians.com


(Subham Pradhan )

* This is a computer generated receipt and does not require signature/stamp

999-888-000-5 [email protected] www.healthians.com

You might also like