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Medical Check Up Bill

- The document is a bill of supply from Lilavati Hospital and Research Centre for medical services provided to a patient named Aniketh Ashok Pradhan. - The bill includes charges for an OPD package for a Canadian visa that includes an X-Ray, urine test, VDRL test, HIV test, and physician consultation totaling Rs. 4,100. - The patient is instructed to present the original invoice at the central dispatch counter between 8am-9pm on weekdays to collect investigation reports, excluding Sundays and public holidays.

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Aniketh Pradhan
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6K views

Medical Check Up Bill

- The document is a bill of supply from Lilavati Hospital and Research Centre for medical services provided to a patient named Aniketh Ashok Pradhan. - The bill includes charges for an OPD package for a Canadian visa that includes an X-Ray, urine test, VDRL test, HIV test, and physician consultation totaling Rs. 4,100. - The patient is instructed to present the original invoice at the central dispatch counter between 8am-9pm on weekdays to collect investigation reports, excluding Sundays and public holidays.

Uploaded by

Aniketh Pradhan
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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Lilavati Hospital and Research Centre

~ - 791 . Sand ra Reclamation , Sandra (W) , Mumbai-400050. Tel. : 2675 1000, 2656 8000 Fax : 91-22-2640 7655
~ GST No: 27AAATL139801ZW
BILL OF SUPPLY
Reg No : OLH / 19 / 10212 OP No: OP/19/45089 I nvoice No : OI / 18 / 23146 9
Patient Name: ANIKETH ASHOK PRADHAN (M / 29) Date: 16 / 03 / 2019 10:06 AM
Referring Dr: Canadian Visa New LHNO: LH00485032
Department SAC Code Charge Description Qty. Rs .
OPD Packages 9993 Canadian Visa - X - Ray Chest 1 700
Canadian Visa - Urine Routine / 1 200
Microscopy
Ca nadian Vi sa - VDRL Qualitat i ve 1 300
Canadian Visa - HIV I & I I (ELI SA) 1 650
Canadi an Visa - Physici an 1 2,250
Consulta t i on above 15 year s MiRt
& "tSt,._RCl\ Ct
~~1\ l\OSPr{~L p_ec\amatiOO,
L\L~ f>..-.791, aandra Mumba\-SO.
eandra (W),_-==-J - ~ :-_--:: ~_,,.,, .,,,,.,,
--·.-- -\i~R 10\9
4: • --- ~ .

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NOTE 1) Enclosed Service Requisition Slip/s should be handed o rt · __ epartmenUs where service is availed.
2) Please produce this original invoice for collecting your In s 1gation ReporUs from "Central Dispatch Counter''
3) Working Hours of "Central Dispatch Counter': 8am to 9pm. It remains closed on Sundays and Public Holidays.
Lilavati Hospital and Research Centre
#r 91. Sandra Reclamation , Sandra (W), Mumbai-40005 0. Tel. : 2675 1000, 2656 8000 Fax 91-22-2640 /6 55
'• GST No: 27AAATL139801ZW
BILL OF SUPPLY
Re g No : OLH/ 19 / 1021 2 OP No: OP/19/450 89 Inv o ice No : OI/18 / 231469
Pat ient Name: ANIKETH ASHOK PRADHAN (M / 29) Dat e : 16/03 / 2 0 19 1 0 : 06 AM
Referring Dr: Canadian Visa New LHNO: LH0048 5 0 32
Total B/f 4,100
Department SAC Code Charge Description Qty. Rs .

I SACCode
Taxable Amt CGST Amt SGST Amt

Total Rs. 4,100


Rupees four thousand one hundred only received by Credit Card No . . Tracer No . .

Bill Prepared By: PARAGJ \. & RESEARCH ~ffii\R PARAGJ


L\LAVAi\ HOS~'T~dra Rec\ematlon,
Pan No : AAATL1398Q A-.791, a(W) Mumba\-50.
aandra, ., . ,.
· · , sM1'R 20,9
NOTE 1) Enclosed Service Requisition Slip/s should be handed ove to the ice is availed.
2) Please produce this original invoice for collecting your lnve tigatio h Counter"
3) Working Hours of "Central Dispatch Counter'': 8am to 9pm. n ays-anaPublic Holidays.

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