GST No.:GST123456789/ TAN NO : PAN No. AAACW3342G HSN No.

UHID : HSH230000000175 Bill Date & Time : 18/04/2023 11:15 AM Consultant : Dr. ANANT KUMAR

Patient Name : MR. ADIL KHAN Bill No. : HSHOCS230000174 Department : Cardiology

Age/Gender : 54 Yrs/Male Bill Type : Cash Ref. Doctor :

Mobile No. : 7485262153 Name of Company : SELF PAY/SELF PAY :

/TPA/Insurance

Sr. No. Service Service Name Qty. Rate Concession Amount (Rs.)
1 Consultation First Consultation (Dr. ANANT KUMAR) 1.00 100.00 0.00 100.00
2 Others Services Registration Charges 1.00 250.00 0.00 250.00
Amount In Words : Rs. THREE HUNDRED FIFTY ONLY Total Amount (Rs.) : 350.00

Received with thanks from -

Card/Cheque/Trans.
Payment Mode Card/Bank Name Branch Name Transaction Date Batch Code Amount
No
Cash - - - 18/04/2023 - 350.00
Total Amount Paid : 350.00

Payer/Patient Bill Amt. GST At Conc. Deposit Emp. Receipt Refund TDS Credit Debit Balance
Bill Utilized Note Note
Patient 350.00 0.00 0.00 0.00 0.00 350.00 0.00 0.00 0.00 0.00 0.00
Total 350.00 0.00 0.00 0.00 0.00 350.00 0.00 0.00 0.00 0.00 0.00

Total : 350.00 Cashier : Ibilling

* - Refunded Items. # - Cancelled Items Print Date & Time : 18/04/2023 04:25 PM
User : Ibilling Ibilling
Prepared By Printed By