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Bill 2

The document is a bill of supply from Max Healthcare for a consultation service provided to Mr. Ajai Kumar Sangal, totaling Rs. 800. The bill includes patient details, service description, payment method, and company information. Payment was made via UPI on October 21, 2024.

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131 views1 page

Bill 2

The document is a bill of supply from Max Healthcare for a consultation service provided to Mr. Ajai Kumar Sangal, totaling Rs. 800. The bill includes patient details, service description, payment method, and company information. Payment was made via UPI on October 21, 2024.

Uploaded by

iitd.anshul
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

|MAX

Healthcare
Billof Supply
Mobile No. : 9810215437 "200426578
Patient Name : Mr. AJAI KUMAR SANGAL
Bill Date : 21/10/2024 12:00PM
Age/Sex : 69 years 9 months / Male
Maxid SSN : VSLI.426578 |200426578
Address DL-8, FUAT 604, ORANGE COUNTY
APARTMENT Bill No / Receipt No :VACS3089854 | VARC2981322
Email ID : [email protected] GSTN BilI :CR240DO000257435
PAN/ Form60 GSTN No :09AACCC4239Q1Z6
Referred By : SELF Passport No
Company GSTN:

Company Add. Company Name : AIRPORT AUTHORITY OF INDIA

S.N Services SAC Qty Base Tariff biscounts Net Amnount Tax Amnt Bill Amoun
Price(Rs.) Price(Rs.) (Rs.) (Tax Yo) (RS.)
Nishant Tyagi. 999312
1
(Consultation - CPT 1
800.0d| 800.0d 800.0 800

99202 ) (VSL-DENTAL)
Total 0.00 800.00 0.00 800.0

Paid by Patient 800.0


Amount in Words : Rupees eight hundred only collected from patient
Sum Of Rs. 800.00 received with thanks from Mr. AJAI KUMAR SANGAL

(Amount includes discount (if any) as per Agreement)

Payment Mode(s)

UPI for Rs.800.000(UPI No. :0, Card Name : HDFC UPI, Approval Code 349067442, Tr. ID-349067442,Dt-21-10-2024
12:00 ) $igngture
Signature of Patient/Next of Kin Aarti

Place of Supply : Utar Pradesh- 09) PAN N0. : AACCC4239Q


Company Name : Max Super Speciality Hospital-Vaishali (A unit of Crosslay Remedies Ltd.)

MaxSuper Speciality Hospital, Vaishali Crosslay Remedies Limited


(A unit of Crosslay Remedies Ltd.) Regd Office N-110, Panchsheel Park,
W-3. Sector-1, Vaishal1, Ghaziabad - 201 012, U P New Delhi -110 017
E info vshamaxhealthcare com T +91-70424 01894
For medical service queries or appointments, E secretarialcrl@maxhealthcare com
call 91-120 4188 000 4173 000
"www.
For any feedbacks/suggestions, please contact 9659749189,,emall;
máxhealthcare.it suyalit,[email protected]
39DLZOUZT M 200
Ou 29

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