Master ID 2022004217 IP FINAL BILL
Patientname: P.ANJAIAH Master ID 2022004217 Age : 60 Sex : M
Address
Consultant Dr.P. Surender Reddy M.S. Ortho
S/O : SAILU
Vill :PERIKEDU
Mdl;RAYAPARTHI Admission on: 28-11- 2022
DIST:WARANGAL RURAL Discharge on: 30-11-2022
Telanagana
Cell: 9908429282
Particulars Amount
Surgeon charges 65000.00
Operation Theatre charges 1000.00
Bed Charges 3000.00
Investigatin charges OP& X RAYS 2400.00
Medicine charges 7807.00
Signature
NET AMOUNT 20,707 .00
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DISCHARGE SUMMERY
Name of the Patient : P.ANJAIAH s/o SAILU Age : 60 Sex : male
D.O.A : 28/11/2022 D.O.S : 28/11/2022 D.O.D 30/11/2022
Address: vil: PERIKADU, MDL : RAYAPARTHY DIST: WARANGAL-RURAL
Doctors Name : P.Surender reddy M.S (Ortho)
Diagnosis: GRADE 3RD COMPOUND FRATURE PROXIMAL PHALANX LITTILE
TOE RIGHT FOOT
Chief complaints : C/o bleeding after an injury.
H/o of illness : Due to bike accident and immediately patient brought to our
hospital and ,stop bleeding x-ray taken Diagnosed GRADE 3RD COMPOUND FRATURE
PROXIMAL PHALANX LITTILE TOE RIGHT FOOT and and advised surgery and patient
admitied.
INVESTIGATIONS :
***********ENCLOSED*********
TREATMENT GIVEN : patient under went to operation for wound debriment and K
wire fixation done under anaesthesia in ot under aseptic condition
INJ: 3CEF IV BD
INJ: AMIKACIN 500 IV BD
INJ: DYNOPER 1CC IM BD 2 DAYS
INJ: PANTOP40 IV BD
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COURSE IN THE HOSPITAL: Immediately after surgery patient shifted to post
operative ward to 6 hours and 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 : ENZOFLAMAE (20) BD
Tab : PAN 40 (10) OD
Tab : A TO Z (20) BD
Review ofter every 5 days for asd
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EMERGENCY CERTIFICATE
Sn: 12 Master ID 2022004271
This is certify That Mr. /Mrs. P.ANJAIAH S/O SAILU Age: 60 male was
RD
Admitted in this Hospital on 28/11/2022 with : GRADE 3 COMPOUND FRATURE PROXIMAL
PHALANX LITTILE TOE RIGHT FOOT in an emergency condition Under Dr.P.SURENDER
REDDY M.S ORTHO He / She has been discharged on 30/11/2022 His/Her admission was done on
an emergency Basis.
Signature
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ESSENTIALITY CERTIFICATE
S.NO 18 Master ID 2022004271
I Cretify that Mr ./ Mrs P.ANJAIAH Age 60 male S/o SAILU Was under my treatment for
GRADE 3RD COMPOUND FRATURE PROXIMAL PHALANX LITTILE TOE RIGHT FOOT
From 28/11/2022 to 30/11/2022 and below investigations /procedures medicine Prescribed by
me in this connection were essen tial 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 10,500.00
Investigation Bills 2,400.00
Pharmacy Bills 7807.00
_____________
TOTAL 20,707.00
Signature
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Date 28-11-2022
Master ID 2022004271 ADVANCE CASH RECEIPT
Patient name : P.ANJAIAH Age: 60 Sex : m
Master ID 2022004271
5000.00
Recived Amount OF : Five thousand rupees only
Signature
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Date 30-11-2022
Master ID 2022004271 CASH RECEIPT
Patient name : P.ANJAIAH Age: 60 Sex : m
Master ID 2022004271
5500.00
Recived Amount OF : five thousand five hundred rupees only
Signature
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EMPLOYMENT HEALTH SCHEEM (EHS)NOT CLAIMED CERTIFICATE
This is to certify that sri,/smt P.ANJAIAH S/o SAILU working as S G T
MPPS SURYA THANDA MDL: RAYAPARTHY DIST ,WARANGAL RURAL and he/she has
taken treatment for (SELF /DEPENDENT) For the disease GRADE 3RD
COMPOUND FRATURE PROXIMAL PHALANX LITTILE TOE RIGHT FOOT for the
period From 28-11-2022 to 30-11-2022. He took treatment by cash and he
did not taken in cashless EHS scheme
Signature of the concerned Doctor
with hospital seal
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DATE:30.11.2022
GENUINITY CERTIFICATE
sub: Medical reimburement of medical cliam expenditure incurred by sri P.ANJAIAH S/O
SAILU PERIKADU ,WARANGAL RURAL confiramtion of genuineness-reg
***
We hereby certify that the copies of Essentiality Certificate ,Emergency certificate ,Discharge
summery and Medical bills issued by our hospital are Genuine and are certified by our Resident
medical officer /medical administrator ,For Rupees 20,707.00/-as in patient from 28-11-2022 to 30-
11-2023
We are here with certifying same copies and enclosing for your necessary verification.
Signature of the Issuing Authority
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