Master ID 2022001075 IP FINAL BILL
Patient name: [Link] REDDY Master ID 2022001075 Ag e : 21 Sex : M
Address
Consultant Dr.P. Surender Reddy M.S. Ortho
D/ O PAPI REDDY
Vill : HANAMKONDA
Mdl; HANAMKONDA Admission on: 3-JUNE- 2022
DIST:HANAMKONDA Discharge on: 07-JUNE-2022
Telanagana
Cell; 9849031969
Particulars Amount
Surgeon charges 35000.00
Operation Theatre charges 9000.00
Bed Charges 3500.00
Anastatist charges 3500.00
Implant charges 10000.00
Investigation charges 1400.00
Medicines charges 15770.00
Nursing charges 1500.00
[Link] 9000.00
Signature
NET 88,670.00
AMOUNT
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DISCHARGE SUMMERY
Name of the Patient : [Link] REDDY D/o PAPI REDDY Age : 21 Sex :Female
D.O.A : 03/06/2022 D.O.S : 4/06/2022 D.O.D 07/06/2022
Address: vil,HANAMKONDA, MDL :HANAMKONDA, DIST: HANAMKONDA
Doctors Name : [Link] REDDY M.S ORTHO
Diagnosis: ACL AVULSION FRACTURE WITH COMPLETE TEAR OF ACL AT TIBIAL
ATTACHMENT
Chief complaints : C/o Pain with swelling. Discomfort while walking
H/o of illness : alleged h/o fall 15 days back and sustained injury to right knee and she
devolved pain and swelling immediately she took conservative treatment later she
come our hospital and advised MRI diagnosed Acl avulsion fracture with complete tear
of acl at tibia attachment and advised surgery and patient admitted.
INVESTIGATIONS : enclosed
TREATMENT GIVEN : Arthroscopic screw fixation done for ACL avulsion fracture in OT Under
aseptic condition
INJ: FINCCEFF 1G IV BD
INJ: AMILAB - 500 IV BD
INJ: DICLONE XT IM BD 5 DAYS
INJ: PANTACOOL IV BD
TAB: CHYMERAL FORTE TID
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COURSE IN THE HOSPITAL: Immediately after surgery patient shifted to post operative
ward to 1 day and later she 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 : SUPRAPAD CV (20) BD
Tab : PANTOPURE 40 (10) OD
Tab: HIFINAC-P (20) BD
Tab: CHYMROL FORTE (30) TID
Review ofter 10 days
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EMERGENCY CERTIFICATE
Sn: 15 Master ID 2020000426 Date:7/JULY/2020
This is certify That Mr. /Mrs [Link] REDDY D/o PAPI REDDY Age : 22 female was
Admitted in this Hospital on 03/06/2022 with : Acl avulsion fracture with complete tear of
acl at tibia attachment in an emergency condition Under [Link] REDDY M.S ORTHO
He / She has been discharged on 07/06/2022 His/Her admission was done on an emergency Basis.
Signature
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ESSENTIALITY CERTIFICATE
[Link] 15 Master ID 2020000426
I Cretify that Mr ./ Mrs [Link] REDDY D/O PAPIREDDY Age 21 female Was under
my treatment for Acl avulsion fracture with complete tear of acl at tibia attachment
From 3/06/2022 to 7/06/2022 and below investigations /procedures medicine Prescribed by me
in this connection were essential for recovery/prevention of serious deterioration of the condition of
the [Link] 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 71,500.00
Pharmacy Bills 15770.00
Investigation 1400.00
_________________
TOTAL 88,670.00
Signature
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Date 03-06-2022
Master ID:2022001075 ADAVANCE CASH RECEIPT
Patient name : [Link] REDDY Master ID:2022001075 Age: 21 Sex : F
50,000.00
Recived Amount OF : FIFTY THOUSAND RUPEES ONLY
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Signature
Date 07-06-2022
Master ID:2022001075 CASH RECEIPT
Patient name : [Link] REDDY Master ID:2022001075 Age: 21 Sex : F
21,500.00
Recived Amount OF : TWENTY ONE THOUSAND FIVE HUNDRED RUPEES ONLY
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Signature
DATE:07.06.2022
GENUINITY CERTIFICATE
sub: Medical reimburement of medical cliam expenditure incurred by sri [Link] REDDY D/O
PAPI REDDY ,HANAMKONDA , confiramtion of genuineness-reg
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***
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 Rupees88,670.00/-as in patient from 03-06-2022 to 07-06-
2022
We are here with certifying same copies and enclosing for your necessary verification.
Signature of the Issuing Authority
EMPLOYMENT HEALTH SCHEEM (EHS)NOT CLAIMED CERTIFICATE
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This is to certify that sri,/smt [Link] REDDY D/O PAPI REDDY working as S A MATHS
at Z P H S MALAKAPALLY MDL:DHARAMASAGAR DIST ,HANMAKONDA and
he/she has taken treatment for (SELF /DEPENDENT) For the disease COMPOUND
FRATURE DISTAL PHALANX RING FINGER LEFT HAND
for the period From 08-12-2021 to 09-12-2021. 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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