Shreya Invoice

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Fortis Hospitals Limited

F34F+W66,
Fortis HospitalRd,
Sector 44, Gurugram,
Haryana 122022
care@fortishealthcare.com

OUT PATIENT BILL


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UHID : APJ1.0001995512 Bill Date : 07/04/2024 at 11:31 AM


Patient Name : Shreya
Age : 19 Year(s) Bill No. : CS35647752
Sex : Female Bill Type : Cash Bill
Doctor Name : Dr. Harsh

Sl. No. Services Qty./Type Amount (Rs.)

1. Syndesmotic Injury Health Treatment 1 11229.00

Total Amount : 11229.00

Net Amount : 11229.00


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Amount in words : Rupees Eleven Thousand Two Hundred Twenty Nine Only

Received with thanks from Shreya

Payment Mode(s)

CC for Rs. 11229.00 (CCno. 4007, Card Name : VISA CARD)

Cashier
(MOHAMMED SHABEEB)
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Reports needs to be collected between 10 A.M. to 6:30 P.M. within 15 days of the due date.

Please Note this consult is valid for One follow up visit within Five days (Except Psychiatry & Psychology)

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Regd. Office : Fortis Escorts Heart Institute and Research Centre, Okhla Road, New Delhi - 110 025 (India)
www.fortishealthcare.com | www.fortishealthcare.com

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