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OUT PATIENT BILL CU
M RECEIPT

: 90612315
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• 9 0 6 1 2 3 1 5 •
Bi\\ No : VZ1O25/62331
: Mrs A HEMA
Gender/ Age Bi\\ Date Time : 25/10/
: Fema\e/28 Yr O M 2024 1:50PM
th ODavs
Contact No Visit No : 317085
7330839083
Ad dr es s Presc. Doctor : Dr.
AKKAYAPALEM,VS
P, VISAKHAPATNAM K S PRAVEEN KUMAR
(URBAN), ANDHRA
PRADESH, INDIA, Department
- : ORTHOPAEDICS
Lab/RIS No
Payer : CASH PAYING
Re fe rre d By

il . Co de Pa rt ic ul ar s
023001. Documen Rate U ni t To ta l
tation Charges N et Amt P at A m
t Paver Amt
300.00 1
> Z03591 ORTHOPAE 300.00 300.00
DIC 300.00 0.00
CONSULTATION (D 500.00 1 500.00
r. K S 500.00 500.00
PRAVEEN KUMAR) 0.00

Gross Amou
·· ·· ·· ··nt ·- ·· -· ·· -· ·~ --
··Ne··t Am 80
--80--0.0.-·
00
ount ·00
Payer Amount
--
Pa-- --Am
--ou
·-nt·· ·- -- -- ·· -- -- o.oo
tient -- --80--0. ··
00·
Amt Received (INR)
80 0. 00
By UPI: 800.00 ,
Amount Received in
words (INR ) Eight Hundre
d Only.
Narration:

Patient/ Employee
Signature
Printed By:30758
Prepared By:MEESALA
OILEEP KUMAR