Fa] “A NASHIKROAD mutt spectauity HOSPITAL 3rd Floor, Star Plus Mall, Opp. Durga Garden, Nashikroad, Nashik - 422101 0253-2457799 | O.P.D. Contact No.: 7507544770 | Emergency Contact No.: 7875770978, 7875770979 DISCHARGE CARD Name: Duta Aopan Crhade _ ppno: LONG — atirees:- Givalien Pina —dharnape ab Read Caekell 1 NoahiK Road: Age:_S yes sex. Pernale — : poa_at 2) 2025 Time_#:30 _ popn8l02|2025 time 1:30PTa Consultant's Name:___Tar._ PY dagtap - MLC No.: ees = : Yo - LRIT FT viral Cover Complaint's on Admission: : the. tod i = b dds cou gh, C_eopertarahan <&iNce Uy te S clays: Napwsea , Vener Onererw'a EO 2 12int euny. cusaltney — fine 9 to % daw. NO ana Dmg Piller yes -ON EXAMINATION : peo: ; AE BIL tvcepts 1a 9h evs: _l62 ® PR . W RR 2 Be bia pa spo2%: $5) CNS: Cenaitoss Dr ended let : = Cynosis : es Pallor : = INVESTIGATION: 5% 2425 Hb.: {3-0 |Naz: J\Gsro | TotalBill: Ot | BT: WBC: 3300 |K: 4.3 Dirct: O-2 | CT: Row Plt: BS5b00 | CL: 100-0 MPAg: peferted| PT: Creat: © 4% |sGot: 46: © | Dengue: Neg Chole : HIV: SGPT: 5t+O | Trop-I: Tigi : HbsAg : CPKMb : Urine : CRP - 36+ WEP Nes ofr MAI/ UG : *TREATMENT GIVEN oe ee Poesy (v ND acdeca Leng tv &p ee Great IV YD Flow? omit fp ws Mach Sra) TOS YP onthe art Bd & =P ZStrr] TOS Sie eFr Ds om SURGICAL NOTES / PROCEDURES: =— Surgeon's Name : Dr. — Anaesthetic Name: Dr. —TREATMENT ADVICED Tah: Colmdoxime 100 eee Aus {——__~——1 & i Gr) ae — 0 — Sw) oe Se) ——— yn) ———_ Ss S RaryPo! if Sql == 0 Sy Follaye- up olber <> days: FOLLOW UP DATE: ps Patient taking Dischat inst Medical Advice ing rge Agal Doctor's Transfer to other Hospital Discharge on Request& “A NASHIKROAD mutti speciatrry HOSPITAL Nashikroad Multispeciality Hospital (Final Bill ) Name: Miss. Durva Ghode [Link]- Age 9 IPD No Gender Female Bill No. Consultant :- |Dr. Ajit Jagtap Bill Date: .02. D.O.A: [05.02.2025 .D: 08.02.2025 ‘Charges Name Narration Amount Suite Room Charges 4000) 3 12000) Dr. Visit Charges 1000) 6 6000) Lab Bill 8200) 1 8200) = — Medical Bill 12379} 1 12379) TOTAL] _ 38579 ‘Thanking you for your faith & co- operation 9 3rd Floor, Star Plus Mall, Near Muktidham, Opp. Durga Garden, Nashikroad, Nashik - 422101 ® 0253-2457799 | O.P.D. Contact No.: 7507544770 | Emergency Contact No.: 7875770978, 7875770979‘ADDRESS: 3RD FLOOR , NASHIKROAD MULTISPECIALITY STAR PLUS MALL, HOSPITAL (PATHOLOGY DEPARTMENT) NEAR NMC OFFICE, DURGA GARDEN, " 7 NASHIK ROAD, NO: 4818 DATE: 05.02.2025 Lvs PHONE NO:0253-2457799 BILL RECEIPT / CASH MEMO Received With Thanks from :[Link] GHODE. [Link]. | NAME OF BLOOD INVESTIGATION AMOUNT 1 COMPLETE BLOOD COUNT 200 2 RFT WITH ELECTROLYTES 900 ——s LIVER FUNCTION TESTS 900 4 CRP TEST (QUANTITATIVE) 600 5 MP ANTIGEN 500 6 DENGUE BYELISA 1200 ze WIDAL TEST 500 8 9 Rs, In Words :FOUR THOUSAND EIGHT HUNDRED RS @ ‘AL 4800 FOR NASHIKROAD MULTISPECIALITY HOSPITAL(LAB) ADDRESS: 3) NASHIKROAD MULTISPECIALITY STAR PLUG MALL, HOSPITAL (PATHOLOGY DEPARTMENT) . NEAR NMC OFFICE, DURGA GARDEN, NO: 4826 DATE: 07.02.2025 Eee oery NASHIK. at PHONE NO:0253-2457799 BILL RECEIPT / CASH MEMO Received With Thanks from :[Link] GHODE . [Link]. NAME OF BLOOD INVESTIGATION AMOUNT s COMPLETE BLOOD COUNT 200 2 CRP TEST (QUANTITATIVE) 600 4 5 : 6 it 8 | ae aeegs 10) Rs. In Words ‘EIGHT HUNDRED RS ONLY 800 FOR NASHIKROAD MULTISPECIALITY HOSPITAL(LAB)ADDRESS: 3RD FLOOR , NASHIKROAD MULTISPECIALITY STAR PLUS MALL, HOSPITAL (PATHOLOGY DEPARTMENT) NEAR NMC OFFICE, DURGA GARDEN, NO: 4830 DATE: 08.02.2025 Sane ~ PHONE NO:0253-2457799 BILL RECEIPT / CASH MEMO Received With Thanks from :[Link] GHODE. [Link]. NAME OF BLOOD INVESTIGATION AMOUNT 1 | COMPLETE BLOOD COUNT 200 2 RFT WITH ELECTROLYTES _ 900 3 LIVER FUNCTION TESTS 900 | 4 _|_ CRP TEST (QUANTITATIVE) _ 600 5 6 Gay? 8 5 9 / \ Rs. In Words ‘TWO THOUSAND SIX HUNDRED RS ONLY | = : 2600 FOR NASHIKROAD MULTISPECIALITY HOSPITAL(LAB)Bill Of Supply SHREE GANESH MEDICAL AND GENERAL STORES Patient : DURVA GHODE ROOM NO 1, 2ND FLOOR, NASHIK Address : MULTI SPL. HOSPITAL, OPP DURGA UDYAN Doctor : [Link] JAGTAP |_F “LALIGAON NASHIK422101 MOB:9561995141 Address z Date : 05/07/2025, Memo [Link]/4331 Time : [Link] Sr HSN Code Description Comp | BatchNo. | Exp | Qty | MRP. | Amount | 1/9018 NEEDLE NO.26 BD 624F0205 05/29} 2 3.00 6.00] 2) 9018 LIFELONG 10ML LIFELON |o82ai0-ac | 07/29) 2 50.50 101.00 3| 3004 C-ONE SB ABBOTT | Z/KOS92 09/26| 2 | 374.67 749.34 4| 3004 OMNIKACINE 250 3MINDI |CPNOS300 © | 05/25) 2 50.50 101.00 5| 3004 ORICLAN 2ML INS svP 24ERGE1 06/26) 2 16.80 33.60 6| 3004 PSKLTE-P-250ML AQUAFI | TF126C00 05/27| 2 | 130.00 260.00 7} 3004 MACBERY COUGH SYRUP MacLeop | 182432764 | 10/26; 1 | 119.75 119.75 8/3004 IVSET POLYMED | 1180402 o1/27| 1 | 39000 390.00 9/9018 | PED DRIPRMS. |ROMSON |G24€020640 | 04/29) 1 | 307.00 307.00 10| 3004 THREE WAY 10CM SURGICA | BH23332 12/26| 1 | 425.00 425.00 11}3008 | NS SOOML DENNIS | 1067406 aya7| 4 98.48 98.48 12] 3004 RABSENOLE INJ SENORES | RS23033 06/25} 2 | 460.00 920.00 13/2106 PIROBAC IV. 3MINDI_ | A241016N 02/26| 2 | 680.00 1360.00 +} 3004 FLUVIR Z swipe »SETERO |2cczasea | 08/28| 1 | 539.00 53.90 Reg. | i ‘ IH-NZ2-520902,MH-NZ2-520903 For SHREE GANESH MEDICAL AND GROSS 4925.07 GSTIN,: 27CYMPKO0O7R120 Pan: State Code: 27 Less : 0.00 E&OE. Subject To NASHIK jurisdiction Get well soon... Pharmacists NET : 4925.00 Bill Of Supply SHREE GANESH MEDICAL AND GENERAL STORES Patient : DURVA GHODE ROOM NO 1, 2ND FLOOR, NASHIK Address : MULTI SPL. HOSPITAL, OPP DURGA UDYAN Doctor : [Link] |_DFOLALI GAON NASHIK422101 MOB:9561995141 Address : te 1 06/02/2025 Memo [Link]/4332 _ Time : [Link] Sr | HSN Code Description Comp | BatchNo. | Exp | Qty | MRP. | Amount 1/3004 C-ONE SB ABBOTT | Z/KO592 09/26| 2 | 374.67 749.34 2|3004 OMNIKACINE 250 3MINDI |CPNO5300 | 05/25) 2 50.50 101.00 3/3004 RABSENOLE INJ SENORES | RS23033 06/25| 1 | 460.00 460.00 4|3004 ORICLAN 2MLINJ svP 24ERG61 06/26| 2 16.80 33.60) 5/3004 Ns DENNIS |AD477a7D | 11/27| 2 47.15 94.30 6| 3004 PSKLTE-P-250ML AQUAFI | TF126C00 05/27| 3 | 130.00 390.00 7|9018 SYRINGE SML LUFELON | 102405-V 09/26) 1 33.00 33.00 | [Link]: mi-nz2-520902,MH-NZ2-520903 'SHREE GANESH MEDICALAND | GROSS 1861.24 GSTIN.: 27CYMPKOOO7R1Z0 Pan: State Code: 27, GENE RES LESS : 0.00) E&OE. Subject To NASHIK jurisdiction Get well soon.. Piiarmacists NET : 1861.00Bill Of Supply SHREE GANESH MEDICAL AND GENERAL STORES Patient : DURVA GHODE ROOM NO 1, 2ND FLOOR, NASHIK Address MULTI SPL. HOSPITAL, OPP DURGA UDYAN, Doctor ; [Link] |_PFOLALI GAON: NASHIK422101 MOB:9561995141 Address : = teat 07/02/9095 = ‘Memo [Link]/4340 Time + [Link] Sr | HSN Code Description ‘Comp Batch No. Exp aty M.R.P. Amount 1/3004 C-ONE SB ABBOTT —ZJKOS92 09/26 2 374.67 749,34 2/3004 OMNIKACINE 250 3M INDI CPNO5300 05/25 2 50.50 101.00 3/3004 RABSENOLE INJ SENORES | RS23033 06/25 1 460.00 460.00 4/2106 PIROBAC IV. 3M INDI A24/016N 02/26 1 680.00 680.00 5| 3004 PSKLTE-P-250ML AQUAFI | TF126C00 05/27 3 130.00 390.00 6|9018 SYRINGE SML UFELON 102405-V 09/26 2 33.00 66.00 7| 9018 SYRINGE 2ML LIFELON 022402-N 01/29 2 22.00 44.00 8) 9018 LIFELONG 10ML LIFELON 082410-AC 07/29 2 50.50 101.00: 9/3004 NEEDLE NO 18 SURGICA | ASDD4477 06/29 2 6.50 13.00 [Link]: MH-NZ2-520902,MH-NZ2-520903 | For SHREE GANESH MEDICAL AND GROSS 2604.34 a fe | us: 200 subject To NASHIK Jursction Gecieal son =e NET : 2604.00 Bill Of Supply | SHREE GANESH MEDICAL AND GENERAL STORES Patient: DURVA GHODE ROOM NO 1, 2ND FLOOR, NASHIK Address : MULTI SPL. HOSPITAL, OPP DURGA UDYAN Doctor : [Link] |_DFOLAL! GAON NASHIK422101 MOB:9561995141 Address : a 08/02/9025 Memo [Link]/4350 Time : [Link] Sr | HSN Code Description Comp Batch No. ‘Exp Qty M.R.P. Amount 1/3004 |c-ONESB ABBOTT | ZJKO592 09/26) 1 | 37467 374.67 2/3004 OMNIKACINE 100 3MINDI |RFTFU354 | 05/25; 1 47.00 47.00 3/3004 RABSENOLE INJ SENORES | RS23033 02/26 1 460.00 460.00; 4/2106 PIROBAC IV. 3M INDI A241016N. 02/26 L 680.00 680.00 5/3004 PSKLTE-P-2SOML AQUAFI | TF26C00 05/27, 1 130.00 130.00 6) 9018 VENFLON 24 3M INDI 329251P64 10/26 1 345.00 345.00. 7|9018 EASY FIX ANUSAYA |01AD24 08/27 1 92.00 | 92.00, , | [Link]: MH-NZ2-520902,MH-NZ2-520803 ‘| |For SHREE GANESH MEDICAL AND. GROSS 2128.67 GSTIN.: 27CYMPKOOO7R1Z0 Pan: State Code: 27 OS GENERAL STORES, ; £8 OF. Subject Hast jrsteston A LESS : 0.00] Get well soon... Pharmacists NET : 2129.00