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Meena Checkup.pdf (1)-1

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14 views2 pages

Meena Checkup.pdf (1)-1

Uploaded by

meenabcom3192
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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Sri Sai Hospital

14th Main 5th Block, 1st stage, H.B.R Layout, Bengaluru - 45


080-46883299
[email protected]

Invoice

Bill To:
Mrs. Meena Ramasamy Invoice # : 11
Gender: Female Invoice Date : 15-Aug-2024
PO # : Dr: Ruthmani
Age: 30 :

Address:
32/47, 12th Main 2nd cross road, Yaseen Nagar, HBR
Layout, Bangalore-43

# Description Qty Rate Amount


1 Complete Hemogram 1 500.00 500.00
2 Chest X-ray 1 500.00 500.00
3 Liver Function Test 1 500.00 500.00
4 Calcium 1 250.00 250.00
5 Ultrasound Scanning (Abdomen) 1 800.00 800.00
6 Blood Test 1 200.00 200.00
7 Consultation with Physician 1 500.00 500.00
Total Net 3250.00
Amount INR 3250.00

Amount In Words: Three Thousand Two Hundred and Fifty Rupees

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Sri Sai Hospital
14th Main 5th Block, 1st stage, H.B.R Layout, Bengaluru - 45
080-46883299
[email protected]

Receipt
Received From:
Mrs. Meena Ramasamy Receipt # : 121
Gender: Female Date : 15-Aug-2024
Against : 11
Age: 30 Invoice #

Address:
32/47, 12th Main 2nd cross road, Yaseen Nagar, HBR Layout, Bangalore-43

Amount INR 3250.00 Online


Payment Mode Payment Gateway IDFC
Issuer First Bank
Reference # 428319665778

Signature

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