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    A Aka SH 2011

    Uploaded by

    Mohit Kumar
    This bill receipt is for patient Aakash for treatment by Dr. Ritu Agarwal of skin pigmentation. It details fees of Rs. 1,900 for membership and Rs. 16,000 for one time registration. The total amount due is Rs. 17,900, which has been paid by credit card on June 15, 2011. The receipt is from Dr. Batra's Positive Health Clinic in Lucknow.

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    A Aka SH 2011

    Uploaded by

    Mohit Kumar
    17 views2 pages
    This bill receipt is for patient Aakash for treatment by Dr. Ritu Agarwal of skin pigmentation. It details fees of Rs. 1,900 for membership and Rs. 16,000 for one time registration. The total amount due is Rs. 17,900, which has been paid by credit card on June 15, 2011. The receipt is from Dr. Batra's Positive Health Clinic in Lucknow.

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    A Aka Sh 2011

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    This bill receipt is for patient Aakash for treatment by Dr. Ritu Agarwal of skin pigmentation. It details fees of Rs. 1,900 for membership and Rs. 16,000 for one time registration. The total amount due is Rs. 17,900, which has been paid by credit card on June 15, 2011. The receipt is from Dr. Batra's Positive Health Clinic in Lucknow.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    17 views2 pages

    A Aka SH 2011

    Uploaded by

    Mohit Kumar
    This bill receipt is for patient Aakash for treatment by Dr. Ritu Agarwal of skin pigmentation. It details fees of Rs. 1,900 for membership and Rs. 16,000 for one time registration. The total amount due is Rs. 17,900, which has been paid by credit card on June 15, 2011. The receipt is from Dr. Batra's Positive Health Clinic in Lucknow.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    BILL/RECIEPT

    Bill No. LUC/11-12/5342 06/16/2011 Patient Name: AAKASH Doctors Name: MS RITU AGARWAL Address: LUCKNOW Patient Code: 214600297574 Bill Particulars Amount(Rs) Being Membership Fees for Professional Consultation for treatment of SKIN Pigmentation from Medicine Fees Discount(if Any) 0.00 One Time Registration Fees 0.00 Net Bill Amount 0.00 RUPEES SEVENTEEN THOUSAND NINE HUNDRED ONLY

    Date:

    1,900 .00 16,000 .00

    17,90

    Receipt Particulars Amount(Rs)


    Receipt No. LUC/1112/0555 Total Date of Payment 06/15/201 1 Payment Mode CC Amount 17,900.00 Rs. 17,900.00 Description

    RECEIVED SEVENTEEN THOUSAND NINE HUNDRED ONLY For Dr. Batras Positive Health Clinic Pvt. Ltd. Patient Sign Cashier Sign

    1st Floor Satya Bussiness Park opp. Leela Cinema, Naval Kishore Road, Hazratganj,Lucknow-226001

    Note: 1. Consultation and treatment can be availed only during membership period. 2. As per the registration form duly expected and signed by patient charges paid are non refundable and cannot be adjusted either. 3. Subject to Mumbai Jurisdiction only.

    1st Floor Satya Bussiness Park opp. Leela Cinema, Naval Kishore Road, Hazratganj,Lucknow-226001

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