621834353-Preventive-Health-Checkup-receipt

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Fortis Hospitals Limited

154/9, Bannerghatta Road.


Opp IIM-B, Bangalore - 560076
Tel +91 80-6621 4444, 2254 4444
Fax +91 80-6621 4242
care.bng@fortishealthcare.com
CIN No U93000DL2009PLC222166

OUT PATIENT BILL


-------------------------------------------------------------------------------------------------------------------------------------------------------------

UHID : WHBG.0000887356 Bill Date : 19-Aug-2022 03:26 PM


Patient Name : Mrs. SAKSHI AGGARWAL
Age : 32 Year(s) Bill No. : CS35645395
Sex : Female Bill Type : Cash Bill
Doctor Name : Dr. Athira RamaKrishnan

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

1. Comprehensive Preventive Health Checkup 1 12000.00

Total Amount : 12000.00

Net Amount : 12000.00


-------------------------------------------------------------------------------------------------------------------------------------------------------------

Amount in words : Rupees Twelve Thousand Only

Received with thanks from Mrs. SAKSHI AGGARWAL

Payment Mode(s)

CC for Rs. 12000.00 (CCno. 4007, Card Name : VISA CARD)

Cashier
(MOHAMMED SHABEEB)
-------------------------------------------------------------------------------------------------------------------------------------------------------------
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)

-------------------------------------------------------------------------------------------------------------------------------------------------------------
Regd. Office : Fortis Escorts Heart Institute and Research Centre, Okhla Road, New Delhi - 110 025 (India)
www.fortishealthcare.com | www.fortisbangalore.com
Fortis Hospitals Limited
154/9, Bannerghatta Road.
Opp IIM-B, Bangalore - 560076
Tel +91 80-6621 4444, 2254 4444
Fax +91 80-6621 4242
care.bng@fortishealthcare.com
CIN No U93000DL2009PLC222166

OUT PATIENT BILL


-------------------------------------------------------------------------------------------------------------------------------------------------------------

UHID : WHBG.0000887356 Bill Date : 19-Aug-2022 03:26 PM


Patient Name : Mrs. SAKSHI AGGARWAL
Age : 32 Year(s) Bill No. : CS35645395
Sex : Female Bill Type : Cash Bill
Doctor Name : Dr. Athira RamaKrishnan

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

1. Comprehensive Preventive Health Checkup 1 12000.00

Total Amount : 12000.00

Net Amount : 12000.00


-------------------------------------------------------------------------------------------------------------------------------------------------------------

Amount in words : Rupees Twelve Thousand Only

Received with thanks from Mrs. SAKSHI AGGARWAL

Payment Mode(s)

CC for Rs. 12000.00 (CCno. 4007, Card Name : VISA CARD)

Cashier
(MOHAMMED SHABEEB)
-------------------------------------------------------------------------------------------------------------------------------------------------------------
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)

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

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