Scribd Logo
Upload

Welcome to Scribd!

  • 146 views

    Dengue Ns1 Antigen Test (Elisa/Elfa) - 600.00 0.00: Duplicate

    Uploaded by

    Abhishek Goel
    This bill of supply from QRG Medicare Ltd is for a dengue NS1 antigen test performed on Mrs. Ritu Goel. The test cost Rs. 600 which was paid in cash by the patient. Central Govt. Health Scheme is listed as the payer and sponsor. The test was performed on August 9, 2023 at QRG Hospital. The bill provides details of the test, patient, payment received, and contact information for the hospital.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Dengue Ns1 Antigen Test (Elisa/Elfa) - 600.00 0.00: Duplicate

    Uploaded by

    Abhishek Goel
    146 views1 page
    This bill of supply from QRG Medicare Ltd is for a dengue NS1 antigen test performed on Mrs. Ritu Goel. The test cost Rs. 600 which was paid in cash by the patient. Central Govt. Health Scheme is listed as the payer and sponsor. The test was performed on August 9, 2023 at QRG Hospital. The bill provides details of the test, patient, payment received, and contact information for the hospital.

    Original Title

    213554020230809102333

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This bill of supply from QRG Medicare Ltd is for a dengue NS1 antigen test performed on Mrs. Ritu Goel. The test cost Rs. 600 which was paid in cash by the patient. Central Govt. Health Scheme is listed as the payer and sponsor. The test was performed on August 9, 2023 at QRG Hospital. The bill provides details of the test, patient, payment received, and contact information for the hospital.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    146 views1 page

    Dengue Ns1 Antigen Test (Elisa/Elfa) - 600.00 0.00: Duplicate

    Uploaded by

    Abhishek Goel
    This bill of supply from QRG Medicare Ltd is for a dengue NS1 antigen test performed on Mrs. Ritu Goel. The test cost Rs. 600 which was paid in cash by the patient. Central Govt. Health Scheme is listed as the payer and sponsor. The test was performed on August 9, 2023 at QRG Hospital. The bill provides details of the test, patient, payment received, and contact information for the hospital.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    QRG MEDICARE LTD. PAN No.

    : AAACQ2238D
    Plot No - 01, Sector 16,Faridabad-121002 Haryana- GST No. : 06AAACQ2238D1ZW
    Tel: 91-129-4330000 Fax: 0129-4330033
    E-mail: info@qrgmedicare.com Website: www.qrghospital.com

    *200110642*
    Duplicate BILL OF SUPPLY Cum Receipt

    Bill No : QHOC24/57895 BillDateTime : 09/08/2023 10:21AM


    UHID : 200110642 Payer : CENTRAL GOVT. HEALTH SCHEME -Cash
    PatientName : Mrs. RITU GOEL Payer Address : CGHS FARIDABAD Haryana
    Gender/Age : Female/30 Yr 11 Mth 6 Days Payer GSTIN :
    Patient PAN : Sponsor : CENTRAL GOVT. HEALTH SCHEME -Cash
    Address : H.NO-1094 SECTOR 19 , FARIDABAD, Presc. Doctor : Dr. Santosh Kumar Agrawal
    Haryana, INDIA, - 121002
    Lab No : 1920130
    Refered By : Self
    App. Date :
    Contact No : 9728400485
    1

    SN SAC Particulars Rate Unit Total Disc. Net Amt. Pat. Amt. Payer Amt.
    1. Dengue Ns1 Antigen Test 600.00 1.00 600.00 0.00 600.00 600.00 0.00
    (ELISA/ELFA).
    Gross Amount : 600.00
    Discount (-) : 0.00
    Net Amount : 600.00
    Payer Amount : 0.00
    Patient Amount : 600.00
    Amt Received : 600.00
    (INR)
    Balance Amt. : 0.00

    By Cash: 600.00 ,
    Amount Received in words (Rs ) Six Hundred Only.
    Narration :
    Authorised Signatory

    * No cancellation will be done next day/later. Validity of consultation is (2) working days
    * For free home sample collection pls. call at: 7835003879 (8AM-8PM) * for any assistance kindly contact 7835003875
    * You may download patient app “Marengo Asia Hospitals App” using the link https://patientapp.marengoasia.com/download.html
    * For Home delivery of medicine please call at: 7835005558
    *Kindly collect all investigations(Pathology & Radiology) reports from PHC dept. in room no. 2003.

    Printed By: Prepared By: 37140 Printed Date: 09/08/2023 (1/1)

    You might also like