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Patient Receipt New

1. This document is a bill or tax invoice for Mr. KURMA VIVEK MATHEWS for an Apollo Ayush Women Check service costing Rs. 1999 from Kalyan Diagnostic Laboratory in Vijayawada, Andhra Pradesh. 2. The service was provided on 24-Dec-2022 and paid for via PhonePe on the same date. 3. The patient can access their report online with the provided login credentials.

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Vivek Mathews
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528 views1 page

Patient Receipt New

1. This document is a bill or tax invoice for Mr. KURMA VIVEK MATHEWS for an Apollo Ayush Women Check service costing Rs. 1999 from Kalyan Diagnostic Laboratory in Vijayawada, Andhra Pradesh. 2. The service was provided on 24-Dec-2022 and paid for via PhonePe on the same date. 3. The patient can access their report online with the provided login credentials.

Uploaded by

Vivek Mathews
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 of Supply / Tax Invoice

Name Mr.KURMA VIVEK MATHEWS Bill DBZAB/22-23/00052754


Age/Gender 29 Y 5 M 11 D /Male Visit/Reg Date 24-Dec-2022 10:01AM
Contact No 9642509640 Refered By Dr.SELF
Address PARMESHWARA COMPLEX,VIJAYAWADA Visit No DBZAOPV535372
UHID DBZA.0000449876 Center RRL VIJAYAWADA
Home Collection No Center Ph. No 8662497878
Center Address Kalyan Diagnostic Laboratory, Parmeshwara
Complex,

# Service Code Service Name SAC Code Rate Total


1 PK0825 PK0825~APOLLO AYUSH WOMEN CHECK 999316 1999 1999
Bill Amount : 1999
Settlement Payment Receipt No Mode Amount
Net Bill Amount : 1999
Settlement 24-12-2022 DBZAR/22-23/00038857 PhonePe 1999
Total Paid Amount : 1999
Received with thanks : One Thousand Nine Hundred And Ninety Nine Only Authorized Signature :
You can download your report from 'WWW.APOLLODIAGNOSTICS.IN' Enter user name as ITBZAF35426 and password as 637K3U
For any query, kindly get in touch with us on [email protected] or call us on 040 - 44442424
GSTIN :37AADCA0733E2Z5
Address :50-81-1/2,Plot no. 5,Seethammapeta,Visakhapatnam,Andhra Pradesh-530016
Please look for AAA+ logo on your report for Apollo assured quality

24-Dec-2022 12:22 PM Page 1 of 1

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