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Deepak - Kumar Health Checkup Receipt

This document is an outpatient bill from Fortis Hospitals Limited for Mr. Deepak Kumar, dated August 12, 2024. The total amount for a comprehensive preventive health checkup is Rs. 12,000, paid via a VISA credit card. The bill includes details on payment modes and instructions for collecting reports.

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101 views1 page

Deepak - Kumar Health Checkup Receipt

This document is an outpatient bill from Fortis Hospitals Limited for Mr. Deepak Kumar, dated August 12, 2024. The total amount for a comprehensive preventive health checkup is Rs. 12,000, paid via a VISA credit card. The bill includes details on payment modes and instructions for collecting reports.

Uploaded by

9j5yxfb994
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

Fortis Hospitals Limited

154/9, Bannerghatta Road.


Opp IIM-B, Bangalore - 560076
Tel +91 80-6621 4444, 2254 4444
Fax +91 80-6621 4242
[email protected]
CIN No U93000DL2009PLC222166

OUT PATIENT BILL


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UHID : WHBG.0000887356 Bill Date : 12-Aug-2024 03:16 PM


Patient Name : Mr. Deepak Kumar
Age : 35 Year(s) Bill No. : CS35645394
Sex : male Bill Type : Cash Bill
Doctor Name : Dr. Athira RamaKrishnan

Sl. No. Services Qty./Type Amount (Rs.)

1. Comprehensive Preventive Health Checkup 1 12000.00

Total Amount : 12000.00

Net Amount : 12000.00


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Amount in words : Rupees Twelve Thousand Only

Received with thanks from Mr. Deepak Kumar

Payment Mode(s)

CC for Rs. 12000.00 (CCno. 4007, Card Name : VISA CARD)

Cashier
(MOHAMMED SHABEEB)
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Reports needs to be collected between 10 A.M. to 6:30 P.M. within 15 days of the due date.

Please Note this consult is valid for One follow up visit within Five days (Except Psychiatry & Psychology)

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Regd. Office : Fortis Escorts Heart Institute and Research Centre, Okhla Road, New Delhi - 110 025 (India)
www.fortishealthcare.com | www.fortisbangalore.com

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