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PGCS5398434

This document is a bill of supply from Max Super Speciality Hospital for patient Mr. Indra Nath Mishra, dated March 3, 2025. The total amount billed for a consultation service is Rs. 800.00, which has been paid by the patient, and the bill includes relevant identification and tax information.

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Indra Mishra
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41 views2 pages

PGCS5398434

This document is a bill of supply from Max Super Speciality Hospital for patient Mr. Indra Nath Mishra, dated March 3, 2025. The total amount billed for a consultation service is Rs. 800.00, which has been paid by the patient, and the bill includes relevant identification and tax information.

Uploaded by

Indra Mishra
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 Super Speciality Hospital, Patparganj

108 A, IP Extension
New Delhi - 110 092

Bill of Supply
*081189938*
Patient Name : Mr. Indra Nath Mishra
:
Age/Sex : 51 years 2 months 17 days / Male Bill Date : 03-03-2025 10:25 am
:
SSN : 081189938

Referred By : SELF MaxId : EHPG.1189938

Bill No : PGCS5398434

PAN No. : AAABB0018M Receipt No : PGRC4531993

GSTN Bill No : BP24OD0000335325

GSTN No : 07AAABB0018M1Z2

Net
Sl.No. Services Qty Base Tariff Discounts Amount ( Tax Amt Bill
SAC
Price(Rs. Price(Rs.) Rs.) (Tax %) Amount (R
)

1 Meena Nihalani (Consultatio 999312 1 800.00 800.00 0.00 800.00 800.00


n – CPT 99202 ) (PPG-ENT
)
Total : 0.00 800.00 0.00 800.00

Paid by Patient : 800.00

Place of Supply DELHI-( 07)

Company Name MSSH(A Unit of Balaji Medical and Diagnostic Research Centre)

PAN No. AAABB0018M


Max Super Speciality Hospital, Patparganj
108 A, IP Extension
New Delhi - 110 092

Bill of Supply
*081189938*
Patient Name : Mr. Indra Nath Mishra
:
Age/Sex : 51 years 2 months 17 days / Male Bill Date : 03-03-2025 10:25 am
:
SSN : 081189938

Referred By : SELF MaxId : EHPG.1189938

Bill No : PGCS5398434

PAN No. : AAABB0018M Receipt No : PGRC4531993

GSTN Bill No : BP24OD0000335325

GSTN No : 07AAABB0018M1Z2

Net
Sl.No. Services Qty Base Tariff Discounts Amount ( Tax Amt Bill
SAC
Price(Rs. Price(Rs.) Rs.) (Tax %) Amount (R
)

Amount in Words : Rupees eight hundred only collected from patient

Sum Of Rs. 800.00 received with thanks from Mr. Indra Nath Mishra

Authorised Signatory

Bill Generated By

Raghav Jha
Shukla Pal

Place of Supply DELHI-( 07)

Company Name MSSH(A Unit of Balaji Medical and Diagnostic Research Centre)

PAN No. AAABB0018M

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