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Hospital Bill Summary for Mrs. Begum

Mrs. Jarina Begum, a 76-year-old female, was admitted on December 24, 2023, and passed away on December 28, 2023. The total medical bill amounts to ₹23,273.50, covering room rent, doctor visits, lab charges, and pharmacy expenses. The document includes detailed billing information from various services and pharmacies.

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62 views2 pages

Hospital Bill Summary for Mrs. Begum

Mrs. Jarina Begum, a 76-year-old female, was admitted on December 24, 2023, and passed away on December 28, 2023. The total medical bill amounts to ₹23,273.50, covering room rent, doctor visits, lab charges, and pharmacy expenses. The document includes detailed billing information from various services and pharmacies.

Uploaded by

labsankarortho
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

Patient Name: Mrs.

JarinaBegum Age: 76 Years / Female IP No: 988/2023

Consultant Name: Dr. Viswanathan MBBS. FCD .Diab

D.O.A: 24.12.2023 D.O.D: 28.12.2023


S.No. BILL No. DATE DESCRIPTION AMOUNT
1. ROOM RENT 7500.00
2. MAINTENANCE 1250.00
3. 3735 28.12.2023 DR.VISWANATHAN VISITS 2500.00
4. ONE TOUGH CBG 1000.00
5. RMO & NURSING CHARGE 2000.00
6. 18873 24.12.2023 ECG CHARGE 250.00
7. 18896 27.12.2023 LAB CHARGE – RFT 300.00
8. CB27122023169 27.12.2023 LAB CHARGE - CBC 400.00
9. EXT2397007102 ANDERSON DIAGNOSTICS LABS 800.00
25.12.2023
10. EXT2397007108 ANDERSON DIAGNOSTICS LABS 250.00
11. 8642 26.12.2023 VISVAM MEDICALS 401.00
12. CO97500 ANNI PHARMACY 70.00
13. CO97563 25.12.2023 ANNI PHARMACY 1246.00
14. CO97564 ANNI PHARMACY 360.00
15. CO97700 26.12.2023 ANNI PHARMACY 627.00
16. CO97748 27.12.2023 ANNI PHARMACY 178.00
17. CO97839 27.12.2023 ANNI PHARMACY 821.00
18. CO97936 28.12.2023 ANNI PHARMACY 496.00
19. CO97947 28.12.2023 ANNI PHARMACY 821.00
20. C01013510 24.12.2023 AUROBINDO PHARMACY 241.00
21. C01013522 25.12.2023 AUROBINDO PHARMACY 96.50
22. C01013549 26.12.2023 AUROBINDO PHARMACY 609.50
23. C01013553 26.12.2023 AUROBINDO PHARMACY 20.50
24. C01013572 27.12.2023 AUROBINDO PHARMACY 595.50
25. C01013619 28.12.2023 AUROBINDO PHARMACY 440.50
TOTAL 23273.50

(Rupees Twenty Three Thousand Two Hundred Seventy Three and Fifty Paisa Only)

Authorized Signatory

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