GSTIN : 23AAECR5258G1ZF OP Cash Bill - Bill of Supply Reference No :
Name : Mrs. LATA PATEL Age : 58Yr 2Mth 3Days UHID: MPI1.0000272908
Spouse Name : MR RAMVINAY PATEL
Sex : Female
*MPI1.0000272908*
Address : JAT COLONY DEHRISARAYE OP Number: MPI1OPP890152
GHATABILLOD Dhar Madhya Pradesh
India 450001, CellNo:91-8982540043 *MPI1OPP890152*
Pan Number:
Bill No : MPI1-OCS-766594
Doctor's Name : Dr. ABHAY BHAGWAT
Date : 16-Dec-23 Time : 13:36:20
NEUROLOGY
Speciality :
*MPI1-OCS-766594*
Bill Amount: `. 1,500.00 FOR APOLLO HOSPITALS
Amount in words: ` One Thousand Five Hundred Only
S.No Service Type/Service Name Department Quantity Ref Tariff Dis(%) Amount (INR)
1 Consultation(999311)
1 OP CONSULTATION - FIRST Consultation 1 1,500.00 0.00 1,500.00
VISIT
Sub Total 1,500.00
Service Amount : 1,500.00
Total Bill Amount 1,500.00
Final Payment (Cash:1,500.00, NonCash:0.00) 1,500.00
No Tax is Payable on Reverse Charge Basis
Receipt Details: Received with thanks sum of `. 1,500.00 (CASH)
` One Thousand Five Hundred Only From Mrs. LATA PATEL
*(QR) Denotes Cancelled Services Authorized Signatory
Denotes Quick Registration
Mr. Darmendra Saini
Cashier
Online Payment access- https://pay.apollohospitals.com
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