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OP Pharmacy Bill 1738313871017

This document is a pharmacy bill for Mrs. Syeeda Azeemunisa detailing her purchase of medical supplies at Sahyadri Narayana Multispeciality Hospital. The total amount due after discounts and taxes is Rs 2178.05, paid in cash. The bill includes itemized costs, tax details, and the pharmacist's information.

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10 views1 page

OP Pharmacy Bill 1738313871017

This document is a pharmacy bill for Mrs. Syeeda Azeemunisa detailing her purchase of medical supplies at Sahyadri Narayana Multispeciality Hospital. The total amount due after discounts and taxes is Rs 2178.05, paid in cash. The bill includes itemized costs, tax details, and the pharmacist's information.

Uploaded by

faisalam786
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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DUPLICATE

PHARMACY BILL CUM RECEIPT


Sahyadri Narayana Multispeciality Hospital-OPD, Shimoga- OP
PHARMACY - SHIMOGA
Khata No 828/1, Survey No 146 Harakere,, N.T.Road, SHIMOGA CITY-1, +91-8884781001
(24*7), Shimoga IND-ST-17, , Karnataka, India -577201

Patient Name : Mrs Syeeda Azeemunisa Bill No : PA500925A010077


Patient MRN : 10090000407120 Receipt No : RCPP-5009-2501010245
Gender|Age|DoB : female|50y 3m|20/10/74 Visit No : AMB-007
Patient Phone No : 9901347892
Date : 27-01-2025 11:42 AM

Unit SGST CGST Amount Patient Patient


Particulars Manufacturer Sch. Batch/Exp Qty
Rate (%) (%) (Rs) Discount Amt (Rs)

Consultant Name: Dr. Balasubramani R

CHEST BINDER-.-XL-.- 04.06-XL/


LOCAL - 1 300.00 6 6 300.00 30.00 270.00
(90189099) 2027-06-30

CAST PADDING(SOFROL)-.-15
GH413/
CM X 3MTR-MEDRAD INC- MEDRAD INC - 2 320.00 6 6 640.00 64.00 576.00
2028-11-30
(30059090)

POVIDONE IODINE-POWDER- N0240549/


CIPLA LTD H 2 90.03 6 6 180.06 18.01 162.05
10GM-CIPLADIN- (30049099) 2027-06-30

CREPE BANDAGE-.-15CM X 2440012/


AMARYLLIS - 2 650.00 6 6 1300.00 130.00 1170.00
4MTR-AMARYLLIS- (30059040) 2029-09-30

Summary Total : 2420.06


Tax - CGST_6.0: 116.68, SGST_6.0: 116.68 Discount : 242.01
Discount - Patient: 242.01, Sponsor: 0.00 Net Amount : 2178.05
Payment Mode - Paid via CASH Rs 2178.00 Sponsor Payable : 0.00
Patient Round Off : (-)0.05

Patient Payable Amt : 2178.00


Total savings: Rs. 242.01

Amount in words: Rupees Two Thousand One Hundred Seventy Eight Rupees Only

Prepared By: Archana V, 349735


Qualified Pharmacist: RP-13651-JAYA SHETTY, RP-31854-VISWANATHA N, RP-31256-ARIF
AHMED S, RP-63514-CHANDAN H H, RP-62503-VEERESH F PYATIMATH
Generated By: Administrator, admin | Generated On: 31-01-2025 02:27 | Signature:

DL NO : KA SG1-20-142402, 20B-142403, 21-142404,21B-142405 | GSTIN : 29AABCN1685J1Z4 | E & OE |


Items once sold shall not be taken back or exchanged. Any excess collection by oversight will be refunded as per Drug (Price Control) order,1970

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