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Bill Cum Receipt - Ms Humki Devi .

This bill receipt summarizes a medical visit for Ms. Humki Devi at Shri Mata Vaishno Devi Narayana Superspeciality Hospital. It provides details of the patient including name, age, gender and contact information. The bill is for a first visit consultation with Dr. Bhanu Pratap Singh, which has a charge of 350 rupees. The patient's insurance plan and sponsor are also listed, with the sponsor paying the full amount due.

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Rahul Ssdotra
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591 views1 page

Bill Cum Receipt - Ms Humki Devi .

This bill receipt summarizes a medical visit for Ms. Humki Devi at Shri Mata Vaishno Devi Narayana Superspeciality Hospital. It provides details of the patient including name, age, gender and contact information. The bill is for a first visit consultation with Dr. Bhanu Pratap Singh, which has a charge of 350 rupees. The patient's insurance plan and sponsor are also listed, with the sponsor paying the full amount due.

Uploaded by

Rahul Ssdotra
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
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BILL CUM RECEIPT

Shri Mata Vaishno Devi Narayana Superspeciality Hospital, Katra- FRONT OFFICE
Shri Mata Vaishno Devi Narayana Superspeciality Hospital, Kakryal (Village & Post), Katra Tehsil, Reasi
District, , Jammu and Kashmir, India -182230

Patient Name : Ms Humki Devi . Bill No : IA150324A006814


Patient MRN : 15030000180192 Date : 17-01-2024 01:19 PM
Gender|Age|DoB : female|81y 3m|24/09/42 Tariff Class : OPD
Patient Phone No : 7006672812 Consultant : Dr. Bhanu Pratap Singh
Address : Udhampur, Jammu and Kashmir, Visit No : OP-006
India,

Plan: 1503_EX SERVICEMEN CONTRIBUTORY HEALTH SCHEME (ECHS) |


Sponsor : EX SERVICEMEN CONTRIBUTORY HEALTH SCHEME ECHS (EX SERVICEMEN CONTRIBUTORY HEALTH SCHEME ECHS, 1382_C) |
Sponsor Bill No : SA150324A002263 | Sponsor Payable : 350.00
Particulars Date Qty Unit Rate Amount(Rs)
Consultation
1. CONSULTATION - FIRST VISIT (CGHS CODE-1) (Notification- F No Z15025/28/2022 17-01-2024 1 350.00 350.00
/DIR/CGHS) | Dr. Bhanu Pratap Singh
Total 350.00

Total Hospital Charges for Rendered Services/Items : 350.00


GSTIN: 01AAECN7567N1Z2 Total Bill Amount Including Taxes before round off : 350.00
Sponsor Payable : 350.00
Patient Round Off : 0.00
Patient Payable : 0.00
Amount in words: Rupees Zero Only

Balance Details
Gross bill amount : 350.00
Sponsor Amount : 350.00
Net Amount : 0.00
Amount Paid : 0.00
Balance To Pay : 0.00

Prepared By: Upasna Magotra, 330816 | Prepared On: 17-01-2024 13:19 | Scan to download NH Care app
Published By: Administrator, admin | Published On: 17-01-2024 13:28 | Access your Lab reports,
prescription and book appointment

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