Scribd
Upload
35 views2 pages

Receipt for AMH Test Payment

The document contains two OP bill receipts from CAREE Test Tube Baby Center and Ankur Healthcare for medical services provided to patients Mrs. Jhansilakshmi Narendra and Mr. Narendra S V. The total amount billed for Mrs. Jhansilakshmi Narendra is Rs. 9,100.00, while Mr. Narendra S V's total is Rs. 9,600.00, both of which were paid in full at the time of service. Each receipt includes detailed listings of services rendered, their costs, and payment methods.

Uploaded by

Narendra Sv
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
35 views2 pages

Receipt for AMH Test Payment

The document contains two OP bill receipts from CAREE Test Tube Baby Center and Ankur Healthcare for medical services provided to patients Mrs. Jhansilakshmi Narendra and Mr. Narendra S V. The total amount billed for Mrs. Jhansilakshmi Narendra is Rs. 9,100.00, while Mr. Narendra S V's total is Rs. 9,600.00, both of which were paid in full at the time of service. Each receipt includes detailed listings of services rendered, their costs, and payment methods.

Uploaded by

Narendra Sv
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

6/21/24, 11:32 AM OP Bill Receipt

CAREE TEST TUBE BABY CENTER


#324 2nd FLOOR [Link] IstCROSS 8th MAIN 3rd STAGE.,
CAREE FERTILITY BASAVESHWARNAGAR BENGALURU -560079 Ph:-080
42244595\84949 12345, BENGALURU -560079
OP Bill Receipt
Patient Name : [Link] Narendra Reg No : MRNI6547
Age/Gender :30 Y/ Female Bill No : OPB1003/24-25
Mobile No :+918978205 14 1 Bill Datc :21 Jun 2024 [Link]
Amt Total A mt
Service Name Qty
AMH 1 3000.00 3000.00
1 250.00 250.00
Blood Group & RH Factor
500.00 500.00
CONSULTATION - Dr. SANGEETHA
1 1200.00 1200.00
HAEMOGLOBINPATHY BY HPLC(HB Electrophoresis) 650.00
650.00
HbAIC/ Glycosylated Hemoglobin 250.00 250.00
HBSAG Rapid 500.00 500.00
HCV (Rapid) 1
1 250.00 250.00
HIV I& 2 (Rapid)
150.00 150.00
Physical Examination
Prolactin 1 750.00 750.00
1 350.00 350.00
Thyroid Stimulating Hormone (TSH)
1 650.00 650.00
Ultrasound Trans Vaginal - Dr. SANGEETHA
VDRL 1 250.00 250.00
1 350.00 350.00
Complete Blood Count
Total Service Amount :9100.00
Net Amount :9100.00
Paid Amount :9100.00

[Link] Receipt No Receipt Date Receipt Amt Cash Card Others


OPR103 1/24-25 21 Jun 2024 [Link] 9100.00 0.00 9100.00 0.00

Total Amount: 9100.00 0.00 9100.00 0.00


Received withThanks from [Link] Narendra a sum of Rs. Nine Thousand One Hundred pnly
For CAREE TEST TUBE BABY CENTER Authorised Signatory: LATHA

192 168.1.17:8001/[Link]?bln=59246&Code=1
Ankur Healthcare
(Ankur Healthcare Pvt. Ltd.)
#55, 20th Main, 1st Block,
Rajajinagar Near Rajajinagar Metro Station, Chord
Road BANGALORE- 560010
Ph: 49043333._/ Mob: 9900099960
Email ID: info@[Link], Web Site: [Link]
GSTIN No.: 29AAICA275001Z4
Patient Name
Bill of Supply
MR. Narendra S V
Age :32 Years
Invoice No. :RJN-24-07-0-0466
Gender
:MALE
Patient Contact No. Invoice Date & Time 13-Jul-2024 11:37 am
+91 8884061342
MR No. :RJN125337
Primary Consultant Name Dr. Vasan S
Patient Address Company Name :Self Company
NO 105, 5TH MAIN, 2ND PHASE
MANJUNATHNAGAR, BANAGLORE-560010
Previous OPD Date (All Amounts in Rs)

Sr No. Service Description SAC Code Prescribed By Qty Unit Rate Disc % Disc Amt Net Price Total Amt
ASA- Advanced Semen Dr. Vasan S 1.00 1,600.00 0.00 0.00 1,600.00 1.600.00
Analysis
Anti HBsAg Antibody
Elisa
[Link] S 1.00 1,200.00 0.00 0.00 1.200.00 1.200.00
HEPATITIS C VIRUS 999316 Dr. Vasan S 1.00 1,200.00 0.00 0.00 1,200.00 1.200.00
ANTIBODY (ELISA)
4 Glycated Haemoglobin ( Dr. Vasan S 1.00 1,100.00 0.00 0.00 1,100.00 1.100.00
HbA1c)
HB 999316 Dr. Vasan S 1.00 1,000.00 0.00 0.00 1,000.00 1.000.00
ELECTROPHOROSIS
HIV I& I| (ELISA) 999316 Dr. Vasan S 1.00 900.00 0.00 0.00 900.00 900.00
PROLACTIN 999316 Dr. Vasan S 1.00 800.00 0.00 0.00 800.00 800.00
SEMEN CULTURE & 999316 Dr. Vasan S 1.00 750.00 0.00 0.00 750.00 750.00
SENSITIVITY
VDRL TEST (QUANTIT 999316 Dr. Vasan S 1.00 600.00 0.00 0.00 600.00 600 00
ATIVE) - RPR
10 TSH -Thyroid Dr. Vasan S 1.00 350.00 0.00 0.00 350.00 350.00
Stimulating Hormone
11 Registration Charges Dr. Vasan S 1.00 100.00 0.00 0.00 100.00 100.00

Total Discount 0.00

9.600.00
Net amnount in words RUPEES NINE THOUSAND SIX HUNDRED ONLY Net Payable Amount
Paid Amount 9,600.00

Balance Amount 0.00

Transaction Summary:
Invoice No. Net Amount Receipt No. Payment Mode Amount

JN-24-07-O-0466 9,600 Card 9.600.00

lance Amount : 0.00


an ce Amount in words :Zero Rupees and Zero Paise only
) > Package Services Consumption Page 1 o

1el/e024

You might also like