Varun Medical Bill

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SWATHI NAGARABHAVI POLY CLINIC

#30, Ground Floor,1st Main NGEF Layout Main Rd, Devaraj Mohal
Nagarabhavi, Bangalore 560 072
Mob: 7338319312 Email: swathi.nagrabhavi.poly.clinic@gmail.com

FINAL BILL

PATIENT DETAILS
TO:
VARUN S, Patient Name : Varun S
#479, 2nd C Main Rd ,
Age : 19 yrs
Papparedypalya, Nagarbhavi
Bangalore-560 072 Sex : Male

Consultant : Dr. J H Basti


CCN No:
12521 Diagnosis : Allergic Reactions

Invoice No: Bill No. : SNPC-23694


23694 Bill Date : 01/01/2024

PATIENT BILLING DETAILS

Sl No. Service Details Amount (Rs)

01 Consultation 1000.00/-

02 Laboratory Test 800.00/-

03 Blood Process Fee 609.00/-

04 PHOTOTHERAPY 2400.00/-

05 Pharmacy 600.00/-

06 MED/SURG Supply 200.00/-

Amount In Words: Sub Total 5609.00/-


Five Thousand Six Hundred Nine
Total Amount 5609.00/-

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Account Details:

Account Number: 64199168493

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ABHAVI PO
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CIF No : 74100750618
SWATHI

INIC

Department Of
Nagar

Accounts
IFSC : SBIN0041153 (Authorised Signatory)
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