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Patient Billing Summary

The document provides medical billing details for a patient named RAMA MANITEJA who underwent surgery for an old fracture in his left ulna with an implant. It includes charges for the surgeon, operation theatre, bed, anesthetist, investigations, medicines, and a total amount due. It also includes discharge documents summarizing the patient's hospital course, treatment, and post-discharge instructions.

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0% found this document useful (0 votes)
70 views8 pages

Patient Billing Summary

The document provides medical billing details for a patient named RAMA MANITEJA who underwent surgery for an old fracture in his left ulna with an implant. It includes charges for the surgeon, operation theatre, bed, anesthetist, investigations, medicines, and a total amount due. It also includes discharge documents summarizing the patient's hospital course, treatment, and post-discharge instructions.

Uploaded by

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

Master ID 2022004683 IP FINAL BILL

Patient nam: RAMA.MANITEJA MasterID Ag e : 25 Sex : M


2022004683
Address
Consultant Dr.P. Surender Reddy M.S. Ortho
S/O PURNACHANDER
TEMPLE TREE VILA
SHYAMPET Admission on: 22-12- 2022
DIST:HANMKONDA Discharge on: 24-12-2022
Telanagana
Cell; 9866601543

Particulars Amount

Surgeon charges 18000.00

Operation Theatre charges 5000.00

Bed Charges 6000.00

Anastatist charges 3000.00

Investigation ,LAB,X-RAY 1500.00

Medicines charges 6232.00

Signature

NET 39,732.00
AMOUNT

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1
DISCHARGE SUMMERY

Name of the Patient : RAMA MANITEJA S/o PURNACHANDER Age : 25 Sex :male

D.O.A : 22/12/2022 D.O.S : 22/12/2022 D.O.D 24/12/2022

Address: vil, SHYAMPET, MDL :HANAMKONDA, DIST: HANAMKONDA


Doctors Name : P.SURENDER REDDY M.S ORTHO
Diagnosis: OLD FRACTURE LEFT ULNA IMPLANT IN SITU
Chief complaints : C/o pain , left hand With implant
H/o of illness : Patient had a surgery Elise ware 1Years back patient now have pain with
Implant
.
INVESTIGATIONS :
enclosed

TREATMENT GIVEN : implant removal done under B B

INJ: FINCCEFF 1G IV BD
INJ: AMILAB - 500 IV BD

INJ: DICLONE XT IM BD 3DAYS

INJ: PANTACOOL IV BD

TAB: CHYMERAL FORTE BD

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2
COURSE IN THE HOSPITAL: Immediately after surgery patient shifted to post operative ward
Later he was shifted to special room and responded well to treatment and hospital stay is
uneventful condition at the time of discharge satisfaction

ADVICE AN DISCHARGE:

Tab : CLAVAM 625 MG (20) BD

Tab : HIFIANC -P (20) BD

Tab : PANTOPURE 40 (10) OD

Tab: CHYMORAL FORTE (30) TID

Tab: LIMCE (10) OD

INJ: ZOSTUM1.5 MG

INJ: AMIKACIN500 MG

Review ofter 5 days

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3
ESSENTIALITY CERTIFICATE
S.NO 25 Master ID 2022004683

I Cretify that Mr ./ Mrs B.RAHUL NAIK S/O RAVINDER NAIK Age 10 male Was under my treatment for OLD
FRACTURE LEFT ULNA IMPLANT IN SITU From 22/11/2022 to 24/11/2022 and below
investigations /procedures medicine Prescribed by me in this connection were essential for
recovery/prevention of serious deterioration of the condition of the patient.The medicines are not stocked
in the hospital for supply to patient and do not include proprietary preparation for which cheaper
substances of equal therapeutic value are available or preparation which are primarily food, toiletries or
disinfectants.
Hospital & Consultant bills 32,000.00

Investigation Bills 1500.00

Pharmacy Bills 6232.00


_________________

TOTAL 39,732.00

Signature

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4
EMERGENCY CERTIFICATE

Sn: 29 Master ID 2022003256

This is certify That Mr. /Mrs RAMA MANITEJA S/o PURNACHANDER Age : 25 male was

Admitted in this Hospital on 22/12/2022 with : OLD FRACTURE LEFT ULNA IMPLANT IN SITU
in an emergency condition Under Dr.P.SURENDER REDDY M.S ORTHO He / She has been discharged
on 24/12/2022 His/Her admission was done on an emergency Basis.

Signature

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5
Date 22-12-2022

Master ID: 2022004683 ADVANCE CASH RECEIPT

Patient name : RAMA MANI TEJA Master ID: 2022004683 Age: 25 Sex : M

20,000.00

Recived Amount OF : Twenty thousand rupees only

Signature

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6
Date 24-12-2022

Master ID: 2022004683 CASH RECEIPT

Patient name : RAMA MANI TEJA Master ID: 2022004683 Age: 25 Sex : M

12,000.00

Recived Amount OF : Twelve thousand rupees only

Signature

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