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Invoice 1

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120 views1 page

Invoice 1

It's a document

Uploaded by

karmakarsaswati8
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

ILS Hospitals Agartala

Capital Complex Extension,,P.O - New Secretariat,Agartala ,Tripura,India


GSTIN - 16AABCJ2967K1ZA | GST State Code - 16

OI-A25OPCS10047

OP Invoice - Cash

Bill No. : A25OPCS10047 UHID : ILS7656515


Bill Date : 2 May 2024 | 12:42 PM Patient Name : ANIL KARMAKAR
Payor : Self Pay
Age/ Gender : 74 Yrs/ M
Practitioner : Dr. Debasattwa Bhattacharya | Neurology
Address : Agartala , Tripura, India
SAC Code : 9993
Referred By : Mobile No : 91-8256945713

Net
[Link]. Service Name Rate Qty. Gross Amt
Amnt

1 MRI Screening (RD112) 6,150.00 1 6,150.00 6,150.00

Total 6,150.00 6,150.00

Amount in Words: INR Six Thousand One Hundred Fifty only


Gross Amount 6,150.00
Receipt/ Refund No. Date Adjusted Amount Mode Paid By
Net Amount 6,150.00
RA25OPCS10047 2 May 2024 6,150.00 Cash Patient
Net Patient Payable 6,150.00

Paid by Patient 6,150.00

Username: Chandrika Kar


Bill Remarks:
Kin Name: Kin Relation: Kin Contact :
Prepared By: Chandrika Kar Printed By: Chandrika Kar Print Date: 2 May 2024 | 12:42 PM

PHYSICAL COPIESOF DIAGNOSTICREPORTSARE DISPATCHEDFROM 8AM TO 8PM.

PHYSICAL COPIES OF DIAGNOSTIC REPORTS ARE DISPATCHED FROM 8AM TO 8PM.

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